The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:.
reduces the workload of the nurse, because it does not have to be checked often.
completely eliminates any pain the patient is experiencing.
eliminates the risk of adverse drug effects from the medication.
reduces patient anxiety about pain by giving the patient more control in its management.
The Correct Answer is D
Choice A rationale:
Patient-controlled analgesia (PCA) is a method of pain management that allows the patient to administer their own pain medication within specified limits, but it doesn't reduce the workload of the nurse. The nurse is responsible for setting up and monitoring the PCA pump, educating the patient, assessing their pain, and ensuring safety. Therefore, this choice is incorrect.
Choice B rationale:
PCA does not completely eliminate pain. It provides the patient with control over their pain relief by allowing them to self-administer medication within preset limits. However, it does not guarantee the complete absence of pain. Pain relief is provided within a safe dosage range, but some level of pain may still be experienced. Therefore, this choice is incorrect.
Choice C rationale:
PCA does not eliminate the risk of adverse drug effects entirely. The nurse must monitor the patient for signs of adverse effects, such as respiratory depression or sedation. While the patient has control over medication administration, there are still risks associated with opioid analgesics. Therefore, this choice is incorrect.
Choice D rationale:
The principal advantage of using patient-controlled analgesia (PCA) is that it reduces patient anxiety about pain by giving the patient more control over its management. This choice is correct because PCA empowers the patient to self-administer pain medication when needed, which can lead to better pain control and reduced anxiety. The nurse sets safe dosage limits and monitors the patient, ensuring safety while providing a sense of control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Sedatives and hypnotics are not typically recommended for long-term relief of sleep problems. They are more commonly used for short-term management of insomnia or acute sleep disturbances. Using these medications for an extended period can lead to tolerance, dependence, and potential side effects.
Choice B rationale:
Neuritis secondary to diabetes is not directly related to the use of sedatives and hypnotics for sleep. This choice does not affect the true or false statement about the long-term use of these medications.
Choice C rationale:
A severely sprained ankle does not impact the use of sedatives and hypnotics for sleep. This choice is not relevant to the true or false statement regarding the long-term use of these medications.
Choice D rationale:
Impaired peripheral circulation is not a determining factor for the long-term use of sedatives and hypnotics for sleep. This choice does not influence the true or false statement in question.
Correct Answer is C
Explanation
Choice A rationale:
The primary care provider (PCP) is responsible for prescribing the PCA but does not typically program the PCA pump. The PCP may set the initial parameters for the PCA, such as the dose and lockout interval, but the actual programming and operation of the PCA pump is typically carried out by the nursing staff.
Choice B rationale:
Pharmaceutical companies manufacture and provide medications, including the medications used in PCA, but they do not program PCA pumps. Programming and administration of the PCA are nursing responsibilities.
Choice D rationale:
Licensed Practical Nurses (LPN) or Licensed Vocational Nurses (LVN) can assist in the administration and monitoring of PCA, but they do not typically program the PCA pump. Registered nurses are usually responsible for the programming and operation of PCA pumps.
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