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"

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Inhalation should be through the nose, not the mouth.
B. Cheeks should remain relaxed.
C. Pursed-lip breathing should be done with every breath.
D. Inhaling for 2 seconds through the nose, then exhaling for 4 seconds out the lips is the correct technique. It involves slow, deep breaths and prolonged exhalation to help control breathing and reduce shortness of breath.

A. Antibiotic B. Antiviral C. Beta-blocker D. Beta2 adrenergic agonist

Correct Answer is D

Explanation

A. Antibiotics are used to treat bacterial infections, not respiratory conditions like asthma.
B. Antivirals are used to treat viral infections, not respiratory conditions like asthma.
C. Beta-blockers can worsen asthma symptoms by constricting the airways. They would be contraindicated in this situation.
D. Beta2 adrenergic agonists are bronchodilators, which relax the muscles in the airways and make it easier to breathe. They are the first-line treatment for acute asthma attacks.

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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?

Nursing Test Bank

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