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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While changes in vital signs, such as increased heart rate and blood pressure, may indicate pain, they are not specific to pain and can be influenced by other factors.
B. The type of surgery can provide some clues about the potential for pain, but it does not accurately reflect the individual's pain experience.
C. Nonverbal cues like grimacing, guarding, or restlessness can suggest pain, but they are not always reliable indicators. Some clients may not exhibit obvious signs of pain, even if they are experiencing significant discomfort.
D. This is the most reliable source of information about a client's pain intensity. Only the client can accurately describe their own pain experience, including its location, severity, and quality.
Correct Answer is A
Explanation
A. This is the correct way to walk with crutches. It allows for weight-bearing on the injured leg as tolerated, promoting healing and preventing muscle atrophy.
B. Hopping can put additional stress on the injured leg and other joints, increasing the risk of further injury.
C. While elevating the injured leg can help reduce swelling, it's important to engage in regular weight- bearing exercises to maintain muscle strength and prevent stiffness.
D. Leaning heavily on the crutches can put excessive pressure on the wrists and shoulders, leading to pain and discomfort.
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