A nurse is reinforcing teaching with a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion device. Which of the following statements by the client indicates an understanding of the teaching?
"I'll be careful about pushing the button so I don't get an overdose."
"I should tell the nurse if I can't control my pain with this device."
"I will ask my family to push the dose button when I am asleep."
"I should only use the device when it's absolutely necessary."
The Correct Answer is B
A. While it's important to use the PCA device responsibly, the device is designed to prevent overdose. The client should not be overly concerned about this.
B. This statement demonstrates an understanding of the PCA device's limitations and the importance of seeking additional pain relief if needed. The nurse is responsible for adjusting the medication dosage or providing alternative pain relief methods if the PCA device is not adequately controlling the client's pain.
C. Only the client should administer the medication through the PCA device. Family members or other individuals should not be allowed to use the device.
D. The PCA device is designed to provide pain relief as needed. The client should use it whenever they experience pain, rather than waiting until the pain becomes severe.
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Related Questions
Correct Answer is A
Explanation
A. Adequate fluid intake is crucial for maintaining soft, bulky stools and preventing constipation. It helps to soften the stool and promote bowel movement.
B. While mineral oil can be used to treat constipation, it's often a last resort. Increasing fluid intake and dietary fiber are generally recommended first-line interventions.
C. The temperature of fluids doesn't significantly impact bowel function. The focus should be on increasing fluid intake, regardless of temperature.
D. A low-fiber diet can actually worsen constipation. Fiber adds bulk to the stool and promotes bowel regularity. A high-fiber diet is generally recommended to prevent constipation.
Correct Answer is D
Explanation
A. Acute pain is typically short-term and usually has a clear cause, such as injury or surgery. It is generally expected to resolve as the underlying issue heals. Phantom limb pain, being a persistent sensation after an amputation, does not fall into this category.
B. Cancer pain refers specifically to pain that arises from cancer itself or its treatment. While it can be chronic and debilitating, it is not related to phantom limb pain, which occurs after the loss of a limb, not due to cancer.
C. Chronic pain is defined as pain that persists for a long time, usually longer than three months, and can result from various conditions. Phantom limb pain fits into this category because it can continue long after the amputation and can be experienced for months or years.
D. Neuropathic pain results from damage to the nervous system, which may manifest as burning, tingling, or shooting pain. Phantom limb pain is often classified as a type of neuropathic pain because it arises from the nervous system's response to the loss of the limb and the misinterpretation of signals by the brain.
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