A nurse is caring for a client who is postoperative and using a PCA pump. For which of the following actions should the nurse intervene?

The client administers a PCA dose prior to dressing changes

The client is ambulating with the PCA pump.

The client requests their partner administer PCA doses while they sleep.

The client administers a PCA dose as soon as their pain returns.

Answer and Explanation

The Correct Answer is C

A. Administering a PCA dose prior to dressing changes is appropriate for managing pain before potentially painful activities.

B. Ambulating with the PCA pump is acceptable, as long as the client is not disconnected and it does not interfere with the pump's function.

C. Requesting a partner to administer PCA doses is incorrect because only the patient should administer PCA doses to prevent overmedication and to ensure that the client is aware of their pain level.

D. Administering PCA doses as soon as pain returns is appropriate as long as the client follows the prescribed timing for PCA use.

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Correct Answer is A

Explanation

A. Acetaminophen is metabolized by the liver, and a history of alcohol use disorder increases the risk of hepatotoxicity. The nurse should notify the provider before administration.

B. A blood pressure of 92/60 mm Hg is low but not contraindicated for acetaminophen, which does not typically affect blood pressure.

C. Recurrent headaches may be a reason for acetaminophen use and are not a contraindication.

D. Hypothyroidism does not interact adversely with acetaminophen and does not require withholding the medication.

A. Cyclobenzaprine B. Lidocaine C. Atropine D. Midazolam

Correct Answer is D

Explanation

A. Cyclobenzaprine is a muscle relaxant, not used for sedation.

B. Lidocaine is a local anesthetic, not a sedative.

C. Atropine is an anticholinergic used to decrease secretions or treat bradycardia.

D. Midazolam is a benzodiazepine commonly used for moderate sedation due to its anxiolytic, amnestic, and sedative properties.

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A nurse is caring for a client who is postoperative and using a PCA pump. For which of the following actions should the nurse intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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