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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A lack of urge to void can be a temporary side effect of spinal anesthesia but is not necessarily a sign of a complication.
B. Numbness in the legs is an expected and temporary effect of spinal anesthesia and should resolve as the anesthesia wears off.
C. A headache, particularly a post-dural puncture headache, can be a complication of spinal anesthesia caused by a leak of cerebrospinal fluid at the puncture site.
D. Hiccups are generally unrelated to spinal anesthesia and are not a common complication.
Correct Answer is B
Explanation
A. Sexual activity is known to increase endorphin levels, contributing to feelings of pleasure and relaxation.
B. Morphine does not increase endorphin levels; it mimics endorphins by binding to opioid receptors, but it does not cause the body to produce more endorphins.
C. Exercise, particularly intense physical activity, stimulates endorphin production, leading to the "runner's high."
D. Laughter is a natural way to boost endorphin levels, contributing to a sense of well-being.
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