A client with a history of chronic back pain comes into the clinic for an exacerbation of pain radiating down the left leg
Therapy of exercise and a transcutaneous electrical nerve stimulation (TENS) unit was effective in treating this client in the past. Which of the following would be appropriate for the client at this time? 1. Prepare the client for radiological studies
2. Instruct the client in what to expect when having spinal injections
3. Provide the client with a heating pad to be applied for 45 minutes at a time
4. Support the client's desire to use exercise and a TENS unit for the pain at this time
4. Support the client's desire to use exercise and a TENS unit for the pain at this time
Rationale:
The client has a history of chronic back pain that has been successfully treated with exercise and a TENS unit. With this exacerbation, there is no evidence to suggest that the client would need any different type of intervention. Therefore, the nurse should support the client's desire to use exercise and a TENS unit to treat this episode of back pain. There is no evidence to suggest that the client needs radiological studies. Spinal injections might be applicable for intractable pain. Heat applications should not exceed 30 minutes due to the rebound phenomenon which will cause the tissues to constrict.
You might also like to view...
The nurse is obtaining a health history on a 3-month-old infant. During the interview, the mother states, "I think she is getting her first tooth because she has started drooling a lot." The nurse's best response would be:
a. "You're right, drooling is usually a sign of the first tooth." b. "It would be unusual for a 3 month old to be getting her first tooth." c. "This could be the sign of a problem with the salivary glands." d. "She is just starting to salivate and hasn't learned to swallow the saliva."
A 42-year-old woman with Ménière's disease is admitted with vertigo, nausea, and vomiting. Which nursing intervention will be included in the care plan?
a. Dim the lights in the patient's room. b. Encourage increased oral fluid intake. c. Change the patient's position every 2 hours. d. Keep the head of the bed elevated 30 degrees.
Gerald has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the hospital by two policemen who had broken up a fight Gerald had gotten into in a neighborhood bar
Gerald is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bi-state area to promote his bid for the presidency. Gerald has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately following his previous admissions. Which of the following would be a nursing management priority for Gerald at this time? A) Administering mood-stabilizing medications to control his delusional thinking because doing so will curtail his desire to drink B) Taking baseline vital signs and then monitoring them on an ongoing basis to ascertain if Gerald is exhibiting early signs of alcohol withdrawal C) Suggesting that Gerald refrain from being intrusive and annoying others with his constant chatter about his delusional thinking D) Referring Gerald to an outpatient community substance abuse treatment center because his addiction has to be adequately addressed before his bipolar problems can be effectively treated
Describe the objective of using anesthesia during surgical procedures.
A. Rapid, smooth induction and maintenance of the patient in Stage III B. Rapid, smooth induction and maintenance of the patient in Stage IV C. Rapid, smooth induction and maintenance of the patient in Stage II D. None of these are correct.