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) "Wearing the TENS unit should not interfere with my daily activities."
c) "One advantage of the TENS unit is it increases blood flow."
d) "I could use the TENS unit if I feel pain somewhere else on my body."

Answer 1

The client needs further instruction for stating they could use the TENS unit on other body parts without guidance, indicating a misunderstanding of its proper usage. TENS units are meant to be used on specific areas where pain is present and may require different settings for different body parts.

Step-by-step explanation:

The client has demonstrated a need for further instruction when they state, "I could use the TENS unit if I feel pain somewhere else on my body." This statement implies a misunderstanding of how the TENS unit should be used. A TENS unit is typically prescribed for a specific area of pain and its electrode placement is determined based on the location and nature of the pain. Using a TENS unit on different body parts without prior medical advice can be ineffective or even harmful. Additionally, the client should understand that each body area may require different settings on the TENS unit and therefore, care and instructions from a healthcare provider are essential before changing its application.

Other statements the client makes about reducing the need for pain medications, not interfering with daily activities, and increasing blood flow are correct understandings of the benefits and functionality of the TENS unit for pain management. However, it is important to note that while increased blood flow might be an indirect benefit due to muscle relaxation and reduced pain, it is not the primary mechanism of action of the TENS unit.