A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management.
Which of the following statements should the nurse make?
"A large dose of pain medication is administered with each injection.”.
"You will have control of administering your own pain medication.”.
"Your partner can push the PCA button for you if you are asleep.”.
"The pain medication is delivered into your muscle.”.
The Correct Answer is B
Choice A rationale:
This statement is not accurate and may confuse the client. In a Patient-Controlled Analgesia (PCA) system, a predetermined dose is delivered when the patient activates the device. The dose is usually controlled to prevent excessive medication administration.
Choice B rationale:
This statement is correct. The essence of PCA is that the patient has control over administering their pain medication within set limits or time intervals. The patient can self-administer doses when needed, ensuring effective pain management.
Choice C rationale:
Allowing the partner to push the PCA button for the patient is not recommended. PCA systems are designed to be controlled by the patient themselves to prevent potential overdosing. Involving someone else in the administration can lead to safety concerns.
Choice D rationale:
PCA systems do not deliver medication into the muscle. They typically deliver medication intravenously (IV) or subcutaneously. This statement is inaccurate and could lead to misconceptions about how the PCA system works.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Going to bed hungry or overly full can interfere with sleep. When you're too hungry, your body may be uncomfortable and unable to relax, making it difficult to fall asleep. Conversely, going to bed overly full can lead to discomfort, and indigestion, and may result in disrupted sleep. Therefore, it does not help the patient reach REM (Rapid Eye Movement) sleep faster.
Choice B rationale:
Overeating or going to bed hungry does not aid in reaching REM sleep faster. It is essential for individuals to have a balanced diet and avoid excessive hunger or fullness to promote a healthy sleep pattern. REM sleep is a stage of deep sleep that occurs cyclically throughout the night, and it is influenced by various factors, including individual sleep patterns and circadian rhythms.
Choice C rationale:
REM sleep, a stage of deep sleep, is not influenced by going to bed hungry or overly full. Instead, it is primarily regulated by the body's internal clock and sleep-wake cycles. Factors such as hunger or fullness may affect the quality of sleep but do not contribute to reaching REM sleep faster.
Choice D rationale:
False. Going to bed hungry or overly full does not have a direct impact on the patient's ability to reach REM sleep faster. REM sleep is a natural part of the sleep cycle and is influenced by various factors, such as circadian rhythms, sleep disorders, and medications, but not by the state of hunger or fullness.
Correct Answer is A
Explanation
Choice A rationale:
NREM (Non-Rapid Eye Movement) sleep is characterized by slow-wave sleep and is often considered restorative. It is the stage of sleep where the body repairs and regenerates tissues, and it is essential for feeling rested and rejuvenated. NREM sleep consists of three stages, with stages 3 and 4 being the deepest and most restful, also known as slow-wave sleep. These stages are essential for physical recovery.
Choice B rationale:
NREM sleep is not characterized by irregular respirations. Irregular breathing patterns are more commonly associated with certain sleep disorders, such as sleep apnea, rather than NREM sleep itself.
Choice C rationale:
NREM sleep is not characterized by increased heart rate. In fact, during NREM sleep, the body typically experiences a decrease in heart rate and blood pressure. The body's physiological functions tend to slow down during NREM sleep to promote rest and recovery.
Choice D rationale:
NREM sleep is not characterized by daytime activity. In contrast, NREM sleep occurs during the night and is a state of deep rest, during which the body is not engaged in daytime activities. It is essential for physical and mental recovery, especially after a day of activity.
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