12. A nurse is assisting in the care of a client who is scheduled for surgery.
Nurses Notes
Exhibits
A nurse is reinforcing preoperative teaching about pain management using a patient-controlled analgesia (PCA) system with a client. Which of the following three statements should the nurse include?
“Push the button as the PCA prior to your pain level becoming severe so you can remain comfortable.”
“Your family member should push the PCA button for you while you are sleeping.”
“You we still have to request pain medication from the nurse from time to time.”
“There is minimal risk of an overdose of pain medication while using the PCA pump.”
"Using the PCA regularly will provide a constant level of pain relief."
Correct Answer : A,D,E
A. This is correct because it is important for clients to manage their pain proactively by using the PCA before the pain becomes intense. This helps maintain a consistent level of comfort and prevents the pain from escalating to a difficult-to-control level.
B. This is incorrect and potentially dangerous. Only the client should press the PCA button, as they are the best judge of their own pain. Allowing someone else to do so can lead to overmedication.
C. This is incorrect because the purpose of the PCA is to give the client control over their pain management. While additional medication may be needed in some cases, the PCA is typically sufficient for managing postoperative pain.
D. This is correct because PCA devices are designed with safety mechanisms that prevent overdose. The pump is programmed to deliver a controlled amount of medication within a specified time frame, ensuring that the client cannot administer too much medication.
E. This is correct because consistent use of the PCA can help maintain steady pain control. The system allows the client to self-administer pain relief as needed, helping to manage pain effectively without large fluctuations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Placing pressure on exposed organs is not appropriate and could cause further damage.
B. Having the client lie supine with legs straight could increase tension on the abdominal wound and exacerbate the evisceration.
C. Covering the eviscerated organs with saline-soaked sterile dressings is the correct intervention to protect the organs from infection and prevent them from drying out while waiting for emergency surgical intervention.
D. Suctioning secretions from the wound bed is not appropriate and could cause additional trauma to the exposed organs.
Correct Answer is D
Explanation
A. Disagreements about staffing issues should be addressed through appropriate channels, but they do not typically require an incident report.
B. The absence of advanced directives is a concern that needs to be addressed, but it does not constitute an incident that requires reporting.
C. A staff member not arriving for their shift is a staffing issue but does not require an incident report unless it directly affects client care.
D. Missing dentures are considered a loss of personal property, which requires documentation through an incident report to ensure accountability and to initiate a search or compensation process.
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