A client with a history of chronic back pain comes into the ...

[vHAUNG6011]

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

Question 2

A client with a walking disability tells the nurse that going out alone at night is not an option for fear of being a target for a crime. The nurse realizes this client has identified which of the following?
 
  1. Predisposing factor
   2. Vulnerability factor
   3. Risk factor
   4. Precipitating factor

[Zack0mack0101@yahoo.com]

Answer to Question 1

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.

Answer to Question 2

2. Vulnerability factor

Rationale:
Vulnerability factors increase one's risk of being a victim of violence. The client with a walking disability avoids the possibility of a crime by not going out alone at night. Predisposing factors are those that increase one's risk of violent victimization or perpetration of violence. Risk factors increase the potential that one will perpetrate violence on others. Precipitating factors are those that give rise to a specific incident of violence.

[vHAUNG6011]

Both answers were spot on, thank you once again

[Zack0mack0101@yahoo.com]

Great! Please up vote