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."
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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Related Questions
Correct Answer is ["C","D","E","F"]
Explanation
A. "Meditation is a complementary therapy that focuses on the use of medications to reduce stress." Meditation is a mind-body practice focused on relaxation and mindfulness, not medications.
B. "Integrative therapies are often used as a substitute for conventional medical treatments." Integrative therapies complement conventional treatments, not replace them.
C. "Yoga can be considered a complementary therapy that combines physical postures, breathing exercises, and relaxation techniques." Yoga is widely recognized as a complementary therapy that promotes physical and mental well-being.
D. "Complementary therapies are used alongside conventional treatments to improve overall well-being." This describes the primary purpose of complementary therapies in healthcare.
E. "Acupuncture is a type of complementary therapy that involves inserting fine needles into specific points on the body." Acupuncture is a well-established complementary therapy in managing pain and other conditions.
F. "Herbal supplements can interact with prescription medications, potentially leading to adverse effects." This is an important consideration for client safety in complementary therapy.
Correct Answer is A
Explanation
A. Level of sedation. Assessing sedation is the priority because excessive sedation could indicate opioid toxicity, which may precede respiratory depression.
B. Pain level. While assessing pain is essential, it is not the priority when evaluating the safety of opioid administration.
C. Pulse oximetry. Monitoring oxygenation is critical but follows the assessment of sedation, which directly relates to the risk of respiratory depression.
D. Blood pressure. Blood pressure monitoring is important but not as immediate a concern as sedation and respiratory function.
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