A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

"You should avoid using the PCA system if you feel that the pain is manageable without medication.

"The PCA system is designed with safety features to prevent you from receiving too much medication.

"The PCA system is programmed to deliver a specific dose of medication each time you press the button."

"You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it."

“Family members should press the PCA button for you if you are unable to do so yourself."

Answer and Explanation

Correct Answer : B,C,D

A. "You should avoid using the PCA system if you feel that the pain is manageable without medication." This is misleading as the PCA system is intended for effective pain control; clients are encouraged to use it before pain becomes severe.

B. "The PCA system is designed with safety features to prevent you from receiving too much medication." This reassures clients about the system's safety features, such as lockout mechanisms that prevent overdose.

C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." This explains how the device is pre-programmed by healthcare providers to deliver a safe, therapeutic dose.

D. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." This empowers the client to take control of their pain management within the limits set by the PCA system.

E. "Family members should press the PCA button for you if you are unable to do so yourself." This is unsafe. Only the client should press the PCA button to avoid overmedication or dosing errors.

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Correct Answer is A

Explanation

A. Black, tarry stools: Celecoxib, a COX-2 inhibitor, can increase the risk of gastrointestinal bleeding, which can manifest as black, tarry stools. This is a serious adverse effect that should be reported.

B. Dry mouth: Dry mouth is not a common adverse effect of celecoxib. This is incorrect.

C. Bone pain: Bone pain is not a recognized adverse effect of celecoxib and may be related to the underlying osteoarthritis rather than the medication.

D. Polyuria: Polyuria is not associated with celecoxib. It is unrelated to the medication’s mechanism of action.

A. Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. B. Focusing solely on treating acute health issues as they arise within the community. C. Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms. D. Conducting individual health screenings and providing personalized counselling for each participant.

Correct Answer is A

Explanation

A. Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. This reflects the nurse's role in promoting health and preventing disease on a community-wide level.

B. Focusing solely on treating acute health issues as they arise within the community. Addressing acute issues is reactive and does not promote long-term health improvement.

C. Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms. While valuable, this action focuses on individuals rather than addressing community-wide prevention.

D. Conducting individual health screenings and providing personalized counseling for each participant. Screenings and counseling are important but do not reflect broader community-level education efforts.

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A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Correct Answer is A

Explanation

A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?

Correct Answer is A

Explanation

A nurse is educating a client about their responsibilities in managing their chronic condition. Which of the following statements by the client demonstrates an understanding of their healthcare responsibilities?

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A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

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