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 A
Explanation
Choice A rationale:
The Neonatal Infant Pain Scale (NIPS) is commonly used to assess pain in newborns and infants. It evaluates multiple indicators of pain, including facial expression, crying, breathing patterns, and arms and legs' movements, to determine if a baby is in pain.
Choice B rationale:
The FACES pain rating scale for children is not typically used for infants, as it relies on a child's ability to point to or describe their pain using facial expressions.
Choice C rationale:
The Premature Infant Pain Profile (PIPP) Scale is used primarily for preterm infants and not typically for all newborns. It is more specific to certain populations.
Choice D rationale:
The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is used for assessing pain in young children who may not be able to self-report. It's not specific to infants, and the NIPS is more appropriate for this population.
Correct Answer is C
Explanation
Choice A rationale:
An elevated blood pressure is not a reliable indicator of a decrease in pain following the administration of an opioid narcotic. Blood pressure can be influenced by various factors, and it may not directly correlate with the relief of pain.
Choice B rationale:
The client being asleep is not a direct indicator of decreased pain following opioid administration. While opioids may cause drowsiness as a side effect, the absence of pain cannot be confirmed solely based on the patient's sleep state.
Choice C rationale:
An increased respiratory rate can be a reliable indicator of decreased pain following the administration of an opioid narcotic. Opioids often cause respiratory depression, so an increased respiratory rate may suggest that the patient's pain is adequately managed, as they are not experiencing excessive respiratory depression.
Choice D rationale:
Diaphoresis (excessive sweating) is not a direct indicator of decreased pain following opioid administration. Diaphoresis can be caused by various factors, including anxiety, and may not specifically reflect pain relief. .
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