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 ["A","C","E"]
Explanation
A. As the heart's ability to pump blood is compromised, blood pressure decreases.
B. Bounding pulses are associated with increased cardiac output, which is opposite to what occurs in cardiac tamponade.
C. Beck's Triad: This classic triad includes hypotension, muffled heart sounds, and jugular venous distention, all indicative of cardiac tamponade.
D. Muffled heart sounds are a characteristic of cardiac tamponade due to the fluid accumulation around the heart.
E. Jugular veins are distended: The increased pressure in the right atrium due to impaired ventricular filling leads to distended jugular veins.
Correct Answer is D
Explanation
A. While the patient may experience pain, it is not the immediate priority. The primary concern is the possibility of the opioid effects returning, leading to respiratory depression.
B. Patient education is important, but it should be done after the patient is stable and out of immediate danger.
C. Building rapport is important, but the patient's immediate physiological needs take precedence.
D. Naloxone has a short half-life, meaning its effects can wear off before the opioid does. The patient needs to be closely monitored for signs of returning respiratory depression, which can be fatal.
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