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.”.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Offering an ice pack to place on the neck would not be an appropriate response in this situation. The patient has already complained that the ice massage is making the pain worse, so providing additional cold application may exacerbate their discomfort.

Choice B rationale:

The most helpful response in this scenario is to acknowledge the patient's discomfort and stop the cold application. Not everyone responds positively to cold therapy, and it's essential to respect the patient's feedback and provide alternative methods for pain relief.

Choice C rationale:

Alternating hot and cold applications may be helpful for some patients, but in this case, the patient has already expressed that the ice massage is exacerbating their pain. Suggesting this approach without addressing the patient's immediate concern is not appropriate.

Choice D rationale:

While it's true that the discomfort from the ice massage may subside in a few minutes, it's important to prioritize the patient's comfort and address their pain immediately. Continuing an intervention that is causing increased pain is not in the patient's best interest.

A. Phantom pain. B. Nociceptive pain. C. Neuropathic pain. D. Pain.

Correct Answer is A

Explanation

Choice A rationale:

Phantom pain is a type of pain that occurs after the loss of a body part, such as an amputation. It is often described as pain or discomfort in the missing limb. This pain is believed to result from the brain's attempt to adjust to the loss of sensory input from the missing body part.

Choice B rationale:

Nociceptive pain is not the correct choice in this context. Nociceptive pain is the result of damage or irritation to tissues and is not specific to the loss of a body part. It can occur in various situations, such as injuries or surgical procedures.

Choice C rationale:

Neuropathic pain is associated with nerve damage or dysfunction. While it can be present in cases of amputation, the specific type of pain occurring after the loss of a body part is termed "phantom pain.”.

Choice D rationale:

"Pain" is a vague and non-descriptive option. It doesn't specify any particular type of pain and doesn't provide a meaningful answer to the question.

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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?

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Naxlex Comprehensive Predictor Exams

A patient is receiving an ice massage for relief of muscle spasms in the neck.The patient complains that the ice is making the pain worse.Most helpful response from the nurse would be:.

Correct Answer is B

Explanation

There are several different types of pain.Which type of pain occurs after the loss of a body part from an amputation?

Correct Answer is A

Explanation

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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?