A nurse is caring for a client who is postoperative and has a PCA pump for pain management. The client states, "I have concerns about my pain pump." Which of the following responses should the nurse make?

"You shouldn't be concerned because the pump is very easy to use."

"We can talk more about your worries regarding your pump if you'd like."

"We use these pumps all the time after surgery, and they work great."

"Your provider wouldn't prescribe this pump if it wasn't the best option for you."

Answer and Explanation

The Correct Answer is B

A. "You shouldn't be concerned because the pump is very easy to use.": This dismisses the client’s concerns and minimizes their feelings. It does not provide an opportunity for the client to express specific worries or receive education.

B. "We can talk more about your worries regarding your pump if you'd like.": This response acknowledges the client’s concerns and invites further discussion. It promotes trust, encourages open communication, and allows the nurse to provide clarification or teaching.

C. "We use these pumps all the time after surgery, and they work great.": While intended to reassure, this response generalizes and fails to address the client’s individual concerns. It may leave the client feeling unheard or invalidated.

D. "Your provider wouldn't prescribe this pump if it wasn't the best option for you.": This shifts responsibility to the provider and avoids addressing the client’s immediate concerns. It does not promote patient-centered communication or therapeutic interaction.

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Correct Answer is B

Explanation

A. Apply the pad for 45 min per application: Heat therapy should generally be limited to 20 to 30 minutes to avoid burns and rebound vasoconstriction. Applying for 45 minutes increases the risk of tissue injury and is not recommended.

B. Cover the pad with a pillowcase before application: Placing a thin barrier, such as a pillowcase, between the aquathermia pad and the skin helps prevent direct contact and reduces the risk of burns. This is the safest and most appropriate action.

C. Set the temperature of the aquathermia pad to 50° C (122° F): The typical safe range for aquathermia pads is around 40° C (104° F). Setting the temperature to 50° C poses a high risk of skin injury, especially in clients with impaired sensation or circulation.

D. Use safety pins to hold the pad in place: Safety pins can puncture the tubing of the pad, leading to leaks and malfunction. Straps or covers designed for the device should be used instead to secure it safely.

A. Wear an N95 mask when caring for the client. B. Place the client in a private room. C. Place the client on droplet isolation precautions. D. Assign client to a negative air pressure room. E. Ensure the client wears a mask when outside their room.

Correct Answer is ["B","C","E"]

Explanation

A. Wear an N95 mask when caring for the client: An N95 mask is necessary for airborne infections such as tuberculosis or measles. Pneumonia caused by typical bacteria or viruses is spread by droplets, so a surgical mask is sufficient, not an N95.

B. Place the client in a private room: Clients with pneumonia should be placed in a private room to prevent transmission of infectious droplets to others, especially those who are immunocompromised or at higher risk for respiratory infections.

C. Place the client on droplet isolation precautions: Pneumonia spreads through large respiratory droplets from coughing or sneezing. Droplet precautions include wearing a surgical mask within 3 feet of the client and limiting close contact exposure.

D. Assign client to a negative air pressure room: A negative air pressure room is required for airborne precautions, not droplet infections like pneumonia. It is unnecessary and would reserve specialized rooms for conditions requiring them.

E. Ensure the client wears a mask when outside their room: Having the client wear a surgical mask while leaving the room helps contain respiratory secretions and prevents droplet transmission to others in hallways or procedure areas.

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A nurse is caring for a client who is postoperative and has a PCA pump for pain management. The client states, "I have concerns about my pain pump." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an ankle sprain and a prescription for an aquathermia pad. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is ["B","C","E"]

Explanation

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