Question

After the nurse has instructed a client with low-back pain about the use of a transcutaneous electrical nerve stimulation (TENS) unit for pain management, the nurse determines that the client has a need for further instruction when the client states what?

A. "I may need fewer pain medications with the TENS unit in place."
B. "I could use the TENS unit if I feel pain somewhere else on my body."
C. "Wearing the TENS unit should not interfere with my daily activities."
D. "One advantage of the TENS unit is it increases blood flow."

Answer 1

The client's statement that requires further instruction is "I could use the TENS unit if I feel pain somewhere else on my body." This indicates misunderstandings about the specific and appropriate use of a TENS unit for pain management targeted to particular areas of the body.

Step-by-step explanation:

The client would demonstrate a need for further instruction about the use of a transcutaneous electrical nerve stimulation (TENS) unit when they state, "I could use the TENS unit if I feel pain somewhere else on my body." This statement is not accurate because a TENS unit should be used specifically as directed, usually on the area of the body experiencing pain and where its use has been deemed safe and appropriate by a healthcare provider. TENS units work by delivering small electrical impulses through electrodes placed on the skin, which can help manage pain by interrupting pain signals to the brain and/or stimulating the production of endorphins, which are natural painkillers.

While it is true that using a TENS unit might reduce the need for pain medications (statement A) and should not interfere with daily activities (statement C), statement D is not generally a recognized advantage of TENS units. However, it is important for clients to understand the intended use and possible benefits, such as pain management, of the TENS unit to ensure they are using it correctly and safely.