A nurse is caring for a patient who is receiving Morphine via a patient-controlled analgesic (PCA) infusion device after knee surgery. Which of the following patient statements indicates that the client understands how to use this device?
"I will ask my son to push the button if I look like I am uncomfortable while sleeping"
"I'll be careful about pushing the button too much so I don't get an overdose"
"I should tell the nurse if the pain doesn't go away after I have used the device"
“I'll wait to use the device until it's absolutely necessary"
The Correct Answer is C
A. The patient should be the only one to control the PCA pump. This is to prevent overmedication and to ensure the patient is in control of their pain management.
B. While it's important to use the PCA responsibly, the device is designed to prevent overdose. It has built-in safeguards to limit the amount of medication delivered.
C. This statement indicates that the patient understands the importance of communicating with the nurse about pain management. If the PCA is not effectively controlling pain, the nurse needs to be notified to adjust the medication or explore other options.
D. The PCA is designed to be used proactively to manage pain, not reactively when pain is severe. Waiting until pain is unbearable can make it more difficult to control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While respiratory depression and cyanosis can be associated with opioid toxicity, agitation is not a typical symptom.
B. Pinpoint Pupils, Respiratory Depression, and ALOC (Altered Level of Consciousness are the three signs are classic indicators of opioid overdose.
C. PERRLA (pupils equal, round, reactive to light, and accommodation) indicates normal pupil function, which is opposite to opioid toxicity.
D. Dilated pupils are more indicative of stimulant use, not opioid overdose.
Correct Answer is C
Explanation
A. The appendix is involved in the immune system, not glucose storage.
B. The pancreas produces insulin and glucagon, hormones that regulate blood sugar levels, but it's not a major storage site for glucose.
C. The liver is the primary storage site for glucose in the body. It stores glucose in the form of glycogen. When blood sugar levels drop, the liver breaks down glycogen into glucose and releases it into the bloodstream.
D. The bone marrow is responsible for blood cell production and has no role in glucose storage.
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