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 C

Explanation

A. Over-oxygenation in COPD patients can suppress their respiratory drive, leading to carbon dioxide retention and respiratory acidosis.
B. Oxygen therapy is crucial for managing COPD exacerbations and improving quality of life.
C. The goal is to maintain oxygen saturation levels within this range to prevent hypoxemia without suppressing the respiratory drive.
D. Venturi masks can be used to deliver precise oxygen concentrations, which is often necessary for COPD patients.

A. Rescue inhaler B. Diazepam C. Ipratropium D. Hydromorphone E. Oxygen via nasal cannula 2 L/min

Correct Answer is ["B","D"]

Explanation

A. Rescue inhaler is appropriate for a COPD exacerbation as it helps to dilate the airways and improve breathing.
B. Diazepam is a benzodiazepine, which is a sedative. Sedating a patient with severe respiratory distress is contraindicated as it can further depress respiratory drive.
C. Ipratropium is a bronchodilator and is appropriate for COPD exacerbations.
D. Hydromorphone is an opioid analgesic. Opioids can depress respiratory drive, which is especially dangerous for patients with respiratory compromise such as COPD.
E. Oxygen is essential for patients with COPD exacerbations.

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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

Naxlex Comprehensive Predictor Exams

In patients with COPD, the body adapts by no longer using Carbon Dioxide levels as the trigger to take a breath, and instead will use low Oxygen levels. As a nurse, what would be the proper way to apply oxygen therapy to your COPD patient?

Correct Answer is C

Explanation

An 82-year-old client with COPD presents with restlessness, dyspnea, pursed lips, and tripod position complaining of "not being able to breathe". The nurse should question which of the following orders?

Correct Answer is ["B","D"]

Explanation

What is the Opioid Toxicity Triad?

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