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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.
Choice B rationale:
Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.
Choice C rationale:
Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.
Choice D rationale:
Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.
Correct Answer is C
Explanation
Choice A rationale:
Atenolol is a beta-blocker used to treat high blood pressure and heart-related conditions. It’s not used in the treatment of alcohol use disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used to treat anxiety disorders. It can be used in the acute management of alcohol withdrawal, but it doesn’t assist in maintaining abstinence.
Choice C rationale:
Disulfiram is a medication used to support the treatment of chronic alcoholism by producing an acute sensitivity to ethanol (drinking alcohol) If alcohol is consumed when a patient has received disulfiram treatment, they suffer from a disulfiram-alcohol reaction, which can include symptoms like flushing, nausea, vomiting, and headaches. This aversive effect aids in discouraging the consumption of alcohol.
Choice D rationale:
Carbamazepine is an anticonvulsant and mood stabilizer medication used primarily in the treatment of epilepsy and bipolar disorder, not for alcohol use disorder.
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