A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?

"Using morphine PCA increases the client's risk of toxicity.”

"Diarrhea is an adverse effect of morphine PCA.”

"Check the client's pain level every 8 hours.”

"Instruct the client's visitors not to operate the PCA pump.”

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Using PCA does not necessarily increase the client’s risk of toxicity. PCA allows the client to self-administer preset doses of pain medication, which can lead to better pain control with less risk of overdose.

Choice B rationale:

Diarrhea is not a common adverse effect of morphine. Constipation, not diarrhea, is a common side effect due to slowed gastrointestinal motility.

Choice C rationale:

Checking the client’s pain level every 8 hours is not sufficient when using PCA. Pain levels should be assessed more frequently, ideally before and after each administration of the medication. This allows for timely adjustments to the medication regimen if needed.

Choice D rationale:

Instructing the client’s visitors not to operate the PCA pump is crucial. Only the patient should administer doses to prevent overdose.

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Correct Answer is B

Explanation

Choice A rationale:

Instructing the client to chew the medication is not recommended for enteric-coated tablets as it could result in stomach upset or damage to the protective coating.

Choice B rationale:

Placing the medication on the client’s tongue allows for easier swallowing without compromising the integrity of the enteric coating.

Choice C rationale:

Dissolving the medication in juice is not recommended as it could damage the enteric coating and result in stomach upset.

Choice D rationale:

Placing the medication between the client’s cheek and gum is not typically recommended for enteric-coated tablets as it could result in discomfort or damage to the protective coating.

A. Docusate sodium. B. Pseudoephedrine. C. Omeprazole. D. Guaifenesin.

Correct Answer is B

Explanation

Choice A rationale:

Docusate sodium is a stool softener and does not have a direct effect on blood pressure. It is generally safe for individuals with hypertension.

Choice B rationale:

Pseudoephedrine is a decongestant that can raise blood pressure or interfere with the effectiveness of some prescribed blood pressure medications. Therefore, it is contraindicated for clients with hypertension.

Choice C rationale:

Omeprazole is a proton pump inhibitor used to decrease stomach acid. It does not have a significant impact on blood pressure and is generally safe for individuals with hypertension.

Choice D rationale:

Guaifenesin is an expectorant used to thin mucus in the air passages. It does not have a significant impact on blood pressure and is generally safe for individuals with hypertension.

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A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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