Introduction
Introduction ( 6 Questions)
A nurse is reviewing the medical history of a client who wants to try acupuncture for her chronic low back pain. The nurse should identify that which of the following conditions are contraindications for acupuncture? (Select all that apply.)
Pregnancy is a contraindication for acupuncture because some acupuncture points may stimulate uterine contractions or induce labor. These points include LI 4, SP 6, UB 60, UB 67, and sacral foraminal points B 3134¹².
Bleeding disorders are a contraindication for acupuncture because of the risk of excessive bleeding or bruising from the needle insertion. Patients who have hemophilia or are taking anticoagulant medications should avoid acupuncture or use it with caution¹²³.
Pacemaker implantation is a contraindication for acupuncture because of the potential interference of the electrical impulses from the pacemaker with the acupuncture needles. This is especially true for electroacupuncture, which uses electrical stimulation of the needles¹²³.
Diabetes mellitus is not a contraindication for acupuncture, but it may require special precautions. Patients with diabetes should monitor their blood glucose levels before and after acupuncture sessions, and avoid needling areas with poor skin condition or neuropathy¹².
Hypertension is not a contraindication for acupuncture, but it may require special precautions. Patients with hypertension should monitor their blood pressure before and after acupuncture sessions, and avoid needling points that may cause a sudden drop in blood pressure, such as LI 4 or ST 36¹².
Choice A reason: Pregnancy is a contraindication for acupuncture because some acupuncture points may stimulate uterine contractions or induce labor. These points include LI 4, SP 6, UB 60, UB 67, and sacral foraminal points B 3134¹².
Choice B reason: Bleeding disorders are a contraindication for acupuncture because of the risk of excessive bleeding or bruising from the needle insertion. Patients who have hemophilia or are taking anticoagulant medications should avoid acupuncture or use it with caution¹²³.
Choice C reason: Pacemaker implantation is a contraindication for acupuncture because of the potential interference of the electrical impulses from the pacemaker with the acupuncture needles. This is especially true for electroacupuncture, which uses electrical stimulation of the needles¹²³.
Choice D reason: Diabetes mellitus is not a contraindication for acupuncture, but it may require special precautions. Patients with diabetes should monitor their blood glucose levels before and after acupuncture sessions, and avoid needling areas with poor skin condition or neuropathy¹².
Choice E reason: Hypertension is not a contraindication for acupuncture, but it may require special precautions. Patients with hypertension should monitor their blood pressure before and after acupuncture sessions, and avoid needling points that may cause a sudden drop in blood pressure, such as LI 4 or ST 36¹².
