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A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

“I have the ability to self-dose when experience pain."

“I can receive a dose as often as need with this pump.”

“I’ll receive a steady flow of medication to control my pain.”

"I will decide with the nurse when I should receive a dose."

Answer and Explanation

The Correct Answer is A

A. PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain.

B. Doses are controlled by a lockout mechanism to prevent overdosing.

C. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise.

D. The client independently determines when to use the PCA within prescribed parameters.

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

Explanation

A. WBC results: The scenario does not mention abnormal WBC results or signs of infection, so this is not relevant to surgical risk in this case.

B. Aspirin: Aspirin has antiplatelet effects and increases the risk of bleeding during and after surgery. This risk is compounded in procedures requiring significant tissue manipulation.

C. Glucose level: No specific glucose value is provided; without evidence of uncontrolled hyperglycemia or hypoglycemia, this is not a confirmed risk factor here.

D. Smoking history: A 20-year history of smoking increases the risk of poor oxygenation, impaired wound healing, and respiratory complications during and after surgery.

E. Type 2 diabetes mellitus: Diabetes increases the risk of delayed wound healing and postoperative infections due to hyperglycemia and impaired immune function.

A. Hyperthermia B. Hypertension C. Tachycardia D. Respiratory depression

Correct Answer is D

Explanation

A. Hyperthermia is not commonly associated with diazepam.

B. Hypertension is not a common concern with diazepam use.

C. Tachycardia is not a significant side effect of diazepam.

D. Respiratory depression is the most serious and potentially life-threatening side effect of diazepam, requiring close monitoring.

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A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for a surgical procedure. 3 Exhibits The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.

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

Explanation

A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?

Correct Answer is D

Explanation

A client asks the nurse why they cannot consume food or liquids before surgery. Which response is most appropriate?

A nurse is working in a preoperative unit. Which task is most appropriate to be delegated to unlicensed assistive personnel (UAP)?

Exhibits A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?

During a pre-surgical admission assessment, a client states. "I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion." Which statement by the nurse would be most appropriate?

The nurse is providing preoperative teaching. The client states, "I'm so nervous about my surgery". What is the best response by the nurse?

A nurse is scheduling an older client for a surgical clearance appointment. Which intervention is best to reduce the risk of drug interactions for the client?

A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]