12. A nurse is assisting in the care of a client who is scheduled for surgery. Nurses Notes
Exhibits

A nurse is reinforcing preoperative teaching about pain management using a patient-controlled analgesia (PCA) system with a client. Which of the following three statements should the nurse include?

“Push the button as the PCA prior to your pain level becoming severe so you can remain comfortable.”

“Your family member should push the PCA button for you while you are sleeping.”

“You we still have to request pain medication from the nurse from time to time.”

“There is minimal risk of an overdose of pain medication while using the PCA pump.”

"Using the PCA regularly will provide a constant level of pain relief."

Answer and Explanation

Correct Answer : A,D,E

A.   This is correct because it is important for clients to manage their pain proactively by using the PCA before the pain becomes intense. This helps maintain a consistent level of comfort and prevents the pain from escalating to a difficult-to-control level.
B.   This is incorrect and potentially dangerous. Only the client should press the PCA button, as they are the best judge of their own pain. Allowing someone else to do so can lead to overmedication.
C.   This is incorrect because the purpose of the PCA is to give the client control over their pain management. While additional medication may be needed in some cases, the PCA is typically sufficient for managing postoperative pain.
D.   This is correct because PCA devices are designed with safety mechanisms that prevent overdose. The pump is programmed to deliver a controlled amount of medication within a specified time frame, ensuring that the client cannot administer too much medication.
E.   This is correct because consistent use of the PCA can help maintain steady pain control. The system allows the client to self-administer pain relief as needed, helping to manage pain effectively without large fluctuations.

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Correct Answer is B

Explanation

A. It is not appropriate to provide reassurances that may be unrealistic; rather, the focus should be on providing accurate information.

B. Tailoring the information to the client’s level of understanding ensures that the client is well-informed and can participate in decision-making, which can reduce anxiety and improve outcomes.

C. Notifying the family is important but not the primary action related to preoperative teaching.

D. Describing the surgery is typically the surgeon's role, but the nurse can reinforce postoperative expectations as part of preoperative teaching.

A. “Push the button as the PCA prior to your pain level becoming severe so you can remain comfortable.” B. “Your family member should push the PCA button for you while you are sleeping.” C. “You we still have to request pain medication from the nurse from time to time.” D. “There is minimal risk of an overdose of pain medication while using the PCA pump.” E. "Using the PCA regularly will provide a constant level of pain relief."

Correct Answer is ["A","D","E"]

Explanation

A. This is correct because it is important for clients to manage their pain proactively by using the PCA before the pain becomes intense. This helps maintain a consistent level of comfort and prevents the pain from escalating to a difficult-to-control level.
B. This is incorrect and potentially dangerous. Only the client should press the PCA button, as they are the best judge of their own pain. Allowing someone else to do so can lead to overmedication.
C. This is incorrect because the purpose of the PCA is to give the client control over their pain management. While additional medication may be needed in some cases, the PCA is typically sufficient for managing postoperative pain.
D. This is correct because PCA devices are designed with safety mechanisms that prevent overdose. The pump is programmed to deliver a controlled amount of medication within a specified time frame, ensuring that the client cannot administer too much medication.
E. This is correct because consistent use of the PCA can help maintain steady pain control. The system allows the client to self-administer pain relief as needed, helping to manage pain effectively without large fluctuations.

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12. A nurse is assisting in the care of a client who is scheduled for surgery. Nurses Notes Exhibits A nurse is reinforcing preoperative teaching about pain management using a patient-controlled analgesia (PCA) system with a client. Which of the following three statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just learned he will need exploratory surgery the next day. As the nurse contributes to the preoperative teaching plan, which of the following actions should she take?

Correct Answer is B

Explanation