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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

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

Explanation

A) Increase hematocrit: Fluid overload typically results in dilutional effects on the blood, leading to a decrease in hematocrit rather than an increase. Hematocrit levels may decrease due to the relative decrease in the concentration of red blood cells in relation to plasma.

B) Increased temperature: Fluid overload is not typically associated with an increase in body temperature. While fever can occur as a result of infection, it is not a direct manifestation of fluid overload.

C) Increased heart rate: Fluid overload can lead to increased blood volume, which results in an increased workload for the heart. As a compensatory mechanism, the heart rate may increase to maintain adequate cardiac output.

D) Increased respiratory rate: Fluid overload can cause pulmonary congestion and impair gas exchange in the lungs, leading to respiratory distress. As a result, the respiratory rate may increase as the body attempts to compensate for the decreased oxygenation.

E) Increased blood pressure: Fluid overload can lead to an increase in blood volume, which results in increased pressure within the blood vessels. As a result, blood pressure may rise as the heart works harder to pump the excess fluid throughout the body.

A. The client who has end stage renal failure and is scheduled for dialysis today. B. The client who has gastroenteritis and is febrile. C. The client who has left-sided heart failure and has a brain natriuretic peptide (UNP) level of 600 pg/ml. D. The client who has been NPO since midnight for endoscopy

Correct Answer is B

Explanation

A) The client with end-stage renal failure scheduled for dialysis is at risk for fluid volume excess rather than deficit. Dialysis is a treatment to remove excess fluid and waste products from the body, which can lead to fluid volume deficit if not managed appropriately, but the scenario does not indicate current dehydration.

B) The client with gastroenteritis and fever is at risk for fluid volume deficit due to fluid loss from vomiting, diarrhea, and fever-induced diaphoresis. Gastroenteritis commonly leads to dehydration, especially when accompanied by fever, which increases fluid loss through sweating.

C) The client with left-sided heart failure and an elevated brain natriuretic peptide (BNP) level is at risk for fluid volume excess rather than deficit. Elevated BNP levels indicate heart failure, which can result in fluid retention and volume overload rather than deficit.

D) The client who has been NPO since midnight for endoscopy is at risk for fluid volume deficit due to fasting. However, the severity and duration of fasting are not specified in the scenario, so it may not present an immediate risk compared to the client with gastroenteritis and fever.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

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

Explanation

A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

Correct Answer is B

Explanation

A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove first?

A nurse manager is observing an AP applying wrist restraints for a client. Which of the following actions should the nurse identify as an indication that the AP understands the procedure?

A nurse is caring for a postoperative patient. Which finding will alert the nurse to a potential wound dehiscence?

A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?

A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?

A nurse is caring for a client who has a new diagnosis of lung cancer. The client states they do not want to tell their partner their diagnosis. Which of the following statements should the nurse make?

A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as Indications that the client has an infection? (Select all that apply)

A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?