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The nurse explains that transcutaneous electric nerve stimulation provides a continuous mild electric current to the skin. How does the TENS unit act to reduce pain?
- A. Distracts the patient.
- B. Blocks endorphin production.
- C. Warms the skin.
- D. Blocks pain impulses.
Correct Answer: D
Rationale: TENS works by blocking pain impulses.
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Which documentation sample is the most helpful to share assessment findings and pain relief interventions?
- A. 1600: Patient reports chest pain. Medicated with morphine sulfate.
- B. 1600: Patient reports sharp chest pain. Morphine sulfate given IM.
- C. 1600: Patient reports sharp pain in left chest radiating to neck. Morphine sulfate 5 mg administered IM in right deltoid.
- D. 1600: Patient requested medication for pain in left chest. Morphine sulfate 10 mg PO given.
Correct Answer: C
Rationale: The nurse should record subjective information relative to the pain, as well as the intervention and administration route.
When preparing a patient for sleep dimming the lights and decreasing the noise levels are examples of nursing interventions. What are these interventions designed to do?
- A. Mimic usual sleep patterns.
- B. Decrease environmental stimuli.
- C. Prepare the patient for sleep.
- D. Provide for more rest.
Correct Answer: B
Rationale: Environmental stimuli should be decreased when preparing the patient for sleep.
The nurse is using a pain scale of 0 to 10 to assess pain in a postoperative patient. What is considered the maximum pain level at which a patient can usually function effectively?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: C
Rationale: Most patients do not function effectively if the pain level exceeds 4 on a scale of 10.
The home health nurse is caring for a patient with an implanted pacemaker. What type of pain management would be contraindicated?
- A. Peripheral analgesics
- B. A TENS unit
- C. Opioid analgesics
- D. Adjuvant analgesics
Correct Answer: B
Rationale: A TENS unit may interfere with the function of the pacemaker.
A patient tearfully declares the use of relaxation techniques does not work for her. What is the best action for the nurse to implement?
- A. Give up on the idea.
- B. Encourage the patient to try again.
- C. Assure the patient that not everyone is successful.
- D. Give the patient a sedative.
Correct Answer: B
Rationale: Some alternative approaches to pain control require practice. Encouragement to try again is appropriate.