A nurse is teaching a client about using a PCA device for postoperative pain management. Which of the following statements should the nurse make?

You will have control of administering your own pain medication

The pain medication is delivered into your muscle

Your partner can push the PCA button for you if you are asleep

A large dose of pain medication is given with each injection

Answer and Explanation

The Correct Answer is A

A) "You will have control of administering your own pain medication":
This statement accurately describes the function of a PCA (Patient-Controlled Analgesia) device, where the client has control over administering their own pain medication within preset limits. Empowering the client to manage their pain helps promote autonomy and individualized pain management.

B) "The pain medication is delivered into your muscle":
This statement is incorrect because PCA devices typically deliver medication intravenously, not into the muscle. It's important for the client to understand the route of administration to use the device effectively and safely.

C) "Your partner can push the PCA button for you if you are asleep":
Allowing someone else to activate the PCA button for the client can lead to overmedication and is not recommended. PCA devices are designed for the client to self-administer medication based on their own pain experience and need.

D) "A large dose of pain medication is given with each injection":
This statement is inaccurate because PCA devices are programmed to deliver a controlled dose of medication with each activation, usually within safe limits set by the healthcare provider. The doses are typically set to avoid overdosing while providing effective pain relief.

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Correct Answer is C

Explanation

A. "It might help if I tried sleeping only on my back."
Sleeping on the back can actually worsen obstructive sleep apnea because gravity can cause the tongue and soft tissues to obstruct the airway more easily. The recommended position to reduce apneic episodes is to sleep on the side.

B. "I’ll sleep better if I take a sleeping pill at night."
Taking a sleeping pill can relax the muscles of the throat, which might worsen sleep apnea by increasing the likelihood of airway obstruction during sleep.

C. "If I could lose about 50 pounds, I might stop having so many apneic episodes."
Weight loss is a key factor in reducing the frequency and severity of obstructive sleep apnea. Excess weight, particularly around the neck, can increase the risk of airway obstruction during sleep.

D. "I’ll get a humidifier to run at my bedside at night."
While a humidifier can make the air more comfortable to breathe, it does not directly reduce the number of apneic episodes. It might help with symptoms like dry mouth or nasal congestion but is not a primary treatment for obstructive sleep apnea.

A. Verify the oxygen flow rate every other day. B. Post NO SMOKING signs in a prominent location in the home. C. Notify local fire department D. Apply petroleum ointment to nares if they become dry and imitated. E. Check the tops of the ears for skin breakdown.

Correct Answer is ["B","C","E"]

Explanation

B. Post NO SMOKING signs in a prominent location in the home:
Oxygen supports combustion, making smoking or exposure to open flames highly dangerous in an oxygen-enriched environment. Posting NO SMOKING signs serves as a reminder to everyone in the household to avoid smoking or using open flames near the oxygen source.

C. Notify local fire department:
It's crucial to inform the local fire department that a client is using home oxygen therapy. This ensures that emergency responders are aware of the presence of oxygen in the home in case of a fire or emergency situation.

E. Check the tops of the ears for skin breakdown:
The nasal cannula can cause pressure on the tops of the ears, potentially leading to skin breakdown, especially with prolonged use. Checking for skin breakdown and providing appropriate skin care helps prevent complications and ensures the client's comfort.

A. Verify the oxygen flow rate every other day:
While it's essential to ensure that the oxygen equipment is functioning properly and that the prescribed flow rate is appropriate for the client's needs, checking it every other day may not be necessary unless there are specific concerns or changes in the client's condition.

D. Apply petroleum ointment to nares if they become dry and irritated:
While it's common for the nasal passages to become dry with oxygen therapy, applying petroleum ointment may not be recommended without consulting the healthcare provider first, as it can interfere with oxygen delivery and increase the risk of infection.

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A nurse is teaching a client about using a PCA device for postoperative pain management. Which of the following statements should the nurse make?

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