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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

This statement is not accurate and may confuse the client. In a Patient-Controlled Analgesia (PCA) system, a predetermined dose is delivered when the patient activates the device. The dose is usually controlled to prevent excessive medication administration.

Choice B rationale:

This statement is correct. The essence of PCA is that the patient has control over administering their pain medication within set limits or time intervals. The patient can self-administer doses when needed, ensuring effective pain management.

Choice C rationale:

Allowing the partner to push the PCA button for the patient is not recommended. PCA systems are designed to be controlled by the patient themselves to prevent potential overdosing. Involving someone else in the administration can lead to safety concerns.

Choice D rationale:

PCA systems do not deliver medication into the muscle. They typically deliver medication intravenously (IV) or subcutaneously. This statement is inaccurate and could lead to misconceptions about how the PCA system works.

A. True B. False

Correct Answer is A

Explanation

There are three types of sleep apnea: obstructive, central, and mixed complex. Obstructive apnea is the most common type. It is caused by the relaxation of the soft tissues, which allows partial to total obstruction of the airway. (True or False) = The correct answer is True.

Choice A rationale:

True. Obstructive sleep apnea is indeed the most common type. It occurs when the soft tissues in the throat and the muscles of the upper airway relax too much during sleep, leading to a partial or complete blockage of the airway. This obstruction results in the characteristic pauses in breathing that are a hallmark of obstructive sleep apnea.

Choice B rationale:

False. Obstructive sleep apnea is not caused by the need for hypnotics or sleep-inducing medications. It is a physiological condition related to airway obstruction during sleep and not a result of poor sleep hygiene or a lack of medication.

Choice C rationale:

False. While it's true that older adults may have changes in their sleep patterns, this doesn't mean they require 10 hours of sleep a day to prevent fatigue. Sleep needs can vary among individuals, and older adults often experience more fragmented sleep and may nap during the day, but the requirement for 10 hours of sleep a day is not a general rule.

Choice D rationale:

False. Older adults may nap more during the day due to changes in their sleep patterns, but it doesn't necessarily mean they need to nap less to sleep better at night. The sleep-wake cycle of older adults may be different from younger individuals, and it's not always necessary for them to reduce daytime napping to improve nighttime sleep.

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The nurse takes into consideration that when the patient has an order for patient-controlled analgesia (PCA), the pump will be programmed by the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

There are three types of sleep apnea: obstructive, central, and mixed complex. Obstructive apnea is the most common type. It is caused by the relaxation of the soft tissues, which allows partial to total obstruction of the airway.

Correct Answer is A

Explanation

The nurse takes into consideration that when the patient has an order for patient-controlled analgesia (PCA), the pump will be programmed by the:

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