A nurse is teaching a client how to use patient-controlled analgesia with morphine. Which of the following statements by the client indicates an understanding of the teaching?
"The pump will not deliver any medication during the lockout period."
"I should wait to push the pain button until the pain becomes severe."
"My partner can push the pain button for me if I fall asleep."
"I will be asked to describe and rate my pain every 8 hours."
The Correct Answer is A
A. "The pump will not deliver any medication during the lockout period.": The lockout interval is a safety feature that prevents overdose by ensuring the pump cannot deliver additional doses until a set time has passed. Understanding this helps the client use the PCA safely.
B. "I should wait to push the pain button until the pain becomes severe.": PCA is most effective when the client administers medication at the onset of pain rather than waiting for it to become severe, as early administration prevents pain from escalating.
C. "My partner can push the pain button for me if I fall asleep.": Only the client should operate the PCA pump to prevent accidental overdose. Allowing someone else to push the button violates safety protocols.
D. "I will be asked to describe and rate my pain every 8 hours.": Pain assessment should be frequent, especially in the first 24 hours of PCA use, to adjust therapy and monitor effectiveness. An 8-hour interval may not provide timely information to manage pain effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Seizures: Seizures are not an indication for potassium chloride administration. While severe electrolyte imbalances can contribute to seizures, potassium replacement is specifically indicated for low potassium levels rather than seizure management.
B. Kidney transplant: Kidney transplant patients may require careful electrolyte monitoring, but potassium chloride is not automatically indicated unless hypokalemia is present. Administration is based on lab values, not transplant status alone.
C. Arrhythmia: Hypokalemia can cause cardiac arrhythmias due to altered myocardial excitability. Potassium chloride is administered to correct low potassium levels and help prevent or treat arrhythmias.
D. Endocarditis: Endocarditis is an infection of the heart valves and is treated with antibiotics. Potassium chloride does not play a role in treating bacterial infections or inflammation of the heart.
Correct Answer is B
Explanation
A. Increased calcium level: Furosemide is a loop diuretic that promotes the excretion of electrolytes, including calcium. An increased calcium level would not indicate a therapeutic response and may suggest another metabolic issue.
B. Decreased urine specific gravity: Furosemide increases urine output by inhibiting sodium and water reabsorption in the loop of Henle. A decreased urine specific gravity reflects more dilute urine, which indicates effective diuresis and a therapeutic response.
C. Decreased liver enzymes: Furosemide does not have a direct effect on liver enzyme levels. Changes in liver enzymes would not reflect the effectiveness of the diuretic therapy.
D. Increased serum sodium level: Loop diuretics like furosemide can lead to sodium loss rather than an increase. An elevated serum sodium level would not indicate a therapeutic effect of the medication.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.