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. DIC is not a genetic disorder, nor is it related to vitamin K deficiency. It is a complex condition involving widespread activation of the clotting cascade.
B. DIC typically results in a decreased platelet count due to the consumption of platelets during excessive clotting.
C. DIC is caused by abnormal coagulation involving the excessive conversion of fibrinogen to fibrin, leading to widespread clot formation and bleeding.
D. Lifelong heparin usage is not a standard treatment for DIC. Management usually focuses on treating the underlying cause and providing supportive care.
Correct Answer is B
Explanation
A. While involving the provider might be helpful, it is not the first action the nurse should take. Addressing the client’s immediate emotional needs is crucial.
B. Encouraging the client to verbalize concerns is a key therapeutic communication technique. It allows the client to express anxiety, which can reduce fear and help the nurse provide reassurance and support.
C. Asking the client to focus on current tasks might distract them temporarily but does not address the underlying anxiety about the surgery.
D. Telling the client there is no need to worry dismisses their feelings and may increase anxiety.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.