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 ["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.

A. Increasing blood pressure B. Increasing coughing C. Increasing the client's respiratory rate D. Reducing anxiety

Correct Answer is D

Explanation

A. Opioid analgesics generally lower blood pressure due to their vasodilatory effects, rather than increasing it.

B. Opioids typically decrease coughing by suppressing the cough reflex, which can be a side effect to monitor in postoperative clients.

C. Opioid analgesics often depress the respiratory rate, so they do not increase it.

D. Opioids are effective in reducing pain, which in turn helps reduce anxiety and improve comfort in postoperative patients.

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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?

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