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","D"]
Explanation
A. A triglyceride level of 260 mg/dL is above the threshold of 150 mg/dL, which is considered elevated and is one of the criteria for Metabolic Syndrome.
B. Not Consistent with Metabolic Syndrome. For males, the waist circumference criterion for Metabolic Syndrome is greater than 40 inches. A waist size of 35 inches is below this threshold.
C. Consistent with Metabolic Syndrome. A systolic blood pressure of 150 mm Hg is above the threshold of 130 mm Hg, which is used to diagnose elevated blood pressure as part of Metabolic Syndrome.
D. This is consistent with metabolic syndrome. High LDL cholesterol is a risk factor.
E. Not Consistent with Metabolic Syndrome. For females, the waist circumference criterion for Metabolic Syndrome is greater than 35 inches. A waist size of 28 inches is below this threshold.
Correct Answer is A
Explanation
A. Specific gravity measures the concentration of solutes in urine. In diabetes insipidus, the urine is very dilute, so the specific gravity will be low.
B. Insulin is related to diabetes mellitus, not diabetes insipidus. There would be no insulin in the urine in this case.
C. Glucose in the urine is typically associated with diabetes mellitus, not diabetes insipidus.
D. Presence of ketones: Ketones are typically found in the urine during uncontrolled diabetes mellitus or starvation. They would not be present in diabetes insipidus.
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