The nurse takes into consideration that when the patient has an order for patient-controlled analgesia (PCA), the pump will be programmed by the:
primary care provider.
pharmaceutical company.
registered nurse.
LPN/LVN.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Oxymorphone is not an NSAID (Non-Steroidal Anti-Inflammatory Drug). It is an opioid analgesic, which is used for more severe pain relief. It is not suitable for managing swelling and pain caused by an injury.
Choice B rationale:
Ibuprofen is an NSAID and is an appropriate choice for managing pain and swelling associated with injuries like the patient's knee injury. NSAIDs work by reducing inflammation, which can help alleviate pain and discomfort in such cases.
Choice C rationale:
Acetaminophen is not an NSAID. It is classified as an analgesic and antipyretic, and while it can help with pain relief, it may not be as effective in reducing inflammation, which is essential in cases of swelling due to an injury.
Choice D rationale:
Aspirin is an NSAID, but it is not the best choice for this patient. Aspirin is known to have a higher risk of gastrointestinal side effects, and there are other NSAIDs like ibuprofen that are generally preferred for pain management and inflammation without the same level of side effects.
Correct Answer is D
Explanation
Choice A rationale:
Post-herpetic neuralgia. Post-herpetic neuralgia is a neuropathic pain that occurs as a complication of shingles (herpes zoster) and is characterized by severe, burning, or shooting pain in the affected area. It is not an example of nociceptive pain.
Choice B rationale:
Diabetic neuropathy. Diabetic neuropathy is another example of neuropathic pain and is caused by damage to the nerves due to diabetes. It typically presents as aching, burning, or tingling sensations and is not considered nociceptive pain.
Choice C rationale:
Phantom limb pain. Phantom limb pain is also a neuropathic pain that occurs after the amputation of a limb. Patients perceive pain or discomfort in the missing limb. It is not classified as nociceptive pain.
Choice D rationale:
Strained muscle. Strained muscle pain is a classic example of nociceptive pain. Nociceptive pain arises from the activation of pain receptors (nociceptors) due to tissue damage or inflammation. In the case of a strained muscle, the pain results from physical injury or overuse of the muscle, making it a nociceptive pain. Nociceptive pain can be further categorized into somatic and visceral pain. Somatic pain, as in the case of a strained muscle, arises from musculoskeletal structures, and it is typically well-localized, sharp, and aching. Understanding the nature of pain is essential for effective pain management and treatment selection. .
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