A female client with bone metastases secondary to lung cancer is ...

[khang]

A female client with bone metastases secondary to lung cancer is admitted for palliative radiation treatment and pain control. The client is presently experiencing pain that she rates at 9 out of 10.
 
  Which of the following nonpharmacological treatments is most likely to be a useful and appropriate supplement to pharmacological analgesia at this point?
  A)
  Teaching the client guided imagery and meditation
  B)
  Initiating neurostimulation
  C)
  Heat therapy
  D)
  Relaxation and distraction

Question 2

During a flu shot clinic, one of the questions the student nurse asks relates to whether the patient has had Guillain-Barr syndrome in his medical history. The patient asks, What is that?
 
  How should the nursing student reply?
  A)
  A type of paralysis that affects movement on both sides of the body that may even involve the respiratory muscles
  B)
  Swelling of your arm where you got your flu shot, and maybe your eyes and lips had some swelling as well
  C)
  A degenerative disease where you have trouble walking without the help of a cane or walker
  D)
  Influenza-like illness where you had fever and chills for 2 to 3 days after your last flu shot

[Jane]

Answer to Question 1

Ans:
D

Feedback:

Given the client's high pain rating, initiating teaching around imagery and meditation is unlikely to be effective or appropriate. Neurostimulation requires implantation and/or placement of internal components, while heat is more likely to address superficial pain or pain caused by muscle tension. Relaxation and distraction would be plausible treatment options for this client.

Answer to Question 2

Ans:
A

Feedback:

Guillain-Barr syndrome is an acute immune-mediated polyneuropathy. The majority of people report having had an acute, influenza-like illness before the onset of symptoms. It progresses along the ascending muscle weakness of the limbs, producing a symmetric flaccid paralysis. The rate of disease progression varies, and there may be disproportionate involvement of the upper or lower extremities. Option B is anaphylaxis following the flu shot. It is not a degenerative disease.

[khang]

Excellent

[dantucker]

TYSM