A nurse is caring for a child who is receiving morphine via a patient-controlled analgesia (PCA) pump after abdominal surgery.

Which of the following actions should the nurse take? (Select all that apply.)

Monitor the child’s respiratory rate every 2 hr.

Assess the child’s pain level using a numeric rating scale.

Allow the child’s parents to push the PCA button when the child is asleep.

Educate the child on how to use the PCA pump.

Check the PCA pump settings with another nurse.

Answer and Explanation

Correct Answer : B,E

The nurse should assess the child’s pain level using a numeric rating scale and check the PCA pump settings with another nurse.

These actions ensure that the child is receiving adequate pain relief and that the PCA pump is functioning properly and safely.

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Correct Answer is ["A","D"]

Explanation

The stage and phase of labor and the fetal heart rate and pattern are important factors that the nurse should consider when choosing a systemic analgesic for a client who is in active labor.Systemic analgesics can cross the placenta and affect the fetus, so the nurse should monitor the fetal heart rate and pattern for any signs of distress or changes.The stage and phase of labor can influence the timing and effectiveness of systemic analgesics, as well as the risk of adverse effects on the mother and the fetus.For example, systemic analgesics given too early in labor may prolong labor, whereas systemic analgesics given too late in labor may cause respiratory depression in the newborn.

Normal ranges for maternal vital signs are: blood pressure 110/60 to 140/90 mm Hg, pulse 60 to 100 beats per minute, respiratory rate 12 to 20 breaths per minute, and temperature 36.5 to 37.5°C (97.7 to 99.5°F).

Normal ranges for fetal heart

A. Encourage the client to focus on a pleasant image or memory. B. Apply firm pressure on specific points on the client’s body. C. Instruct the client to change positions frequently during contractions. D. Help the client breathe into her cupped hands or a paper bag.

Correct Answer is A

Explanation

hypnosis for pain relief during labor involves entering into a state of self-hypnosis that alters the perception of potentially painful sensations.By focusing on a pleasant image or memory, the client can enhance the effect of hypnosis and reduce the need for pharmacological analgesia.

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A nurse is caring for a child who is receiving morphine via a patient-controlled analgesia (PCA) pump after abdominal surgery. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in active labor and requests pain medication. Which of the following factors should the nurse consider when choosing a systemic analgesic? (Select all that apply.).

Correct Answer is ["A","D"]

Explanation

A nurse is assisting a client who is in active labor and plans to use hypnosis as a nonpharmacologic method of pain relief. Which of the following actions should the nurse take to facilitate this method?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving pudendal block anesthesia for a vaginal delivery. Which of the following outcomes should the nurse expect?

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A nurse is caring for a client who is receiving nitrous oxide for pain relief during labor. Which of the following are advantages of this method? (Select all that apply.).

A nurse is caring for a client who is in labor and has received epidural anesthesia for pain relief. Which of the following interventions should the nurse perform to prevent hypotension?

A nurse is caring for a client who is in active labor and requests pain medication. Which of the following factors should the nurse consider when choosing a pharmacological pain management method? (Select all that apply.)

A nurse is administering nitrous oxide to a client who is in labor. Which of the following actions should the nurse take?

A nurse is caring for a client who is in labor and has received nitrous oxide for pain relief. Which of the following are potential adverse effects of this method? (Select all that apply.).

A nurse is caring for a child who is receiving morphine via a patient-controlled analgesia (PCA) pump after abdominal surgery.

Which of the following actions should the nurse take? (Select all that apply.)