A nurse is caring for a client who is postoperative and using a PCA pump. For which of the following actions should the nurse intervene?

The client administers a PCA dose prior to dressing changes

The client is ambulating with the PCA pump.

The client requests their partner administer PCA doses while they sleep.

The client administers a PCA dose as soon as their pain returns.

Answer and Explanation

The Correct Answer is C

A. Administering a PCA dose prior to dressing changes is appropriate for managing pain before potentially painful activities.

B. Ambulating with the PCA pump is acceptable, as long as the client is not disconnected and it does not interfere with the pump's function.

C. Requesting a partner to administer PCA doses is incorrect because only the patient should administer PCA doses to prevent overmedication and to ensure that the client is aware of their pain level.

D. Administering PCA doses as soon as pain returns is appropriate as long as the client follows the prescribed timing for PCA use.

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Correct Answer is B

Explanation

A. A vein in the dominant arm can be used, but it is not necessarily the best choice for a re-insertion.

B. A vein proximal to the previous site is the best option to avoid using the same vein where complications (e.g., infiltration, thrombosis) have occurred.

C. A vein that feels hard to the touch may indicate previous injury or sclerosis, making it unsuitable for insertion.

D. The wrist vein is less ideal because it is smaller and more difficult to access compared to veins in the forearm.

A. Bradycardia B. Hypothermia C. Hypokalemia D. Dizziness

Correct Answer is D

Explanation

A. Bradycardia is not a common side effect of buspirone.

B. Hypothermia is unrelated to buspirone use.

C. Hypokalemia is not associated with this medication.

D. Dizziness is one of the most commonly reported adverse effects of buspirone, especially early in therapy.

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A nurse is caring for a client who is postoperative and using a PCA pump. For which of the following actions should the nurse intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is D

Explanation

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