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A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

“I have the ability to self-dose when experience pain."

“I can receive a dose as often as need with this pump.”

“I’ll receive a steady flow of medication to control my pain.”

"I will decide with the nurse when I should receive a dose."

Answer and Explanation

The Correct Answer is A

A. PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain.

B. Doses are controlled by a lockout mechanism to prevent overdosing.

C. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise.

D. The client independently determines when to use the PCA within prescribed parameters.

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Correct Answer is A

Explanation

A. The changes in vital signs are within expected ranges post-procedure, so continued monitoring is appropriate.

B. A temperature increase to 99°F is not significant and does not require immediate reporting.

C. No signs of hypovolemia or dehydration warrant increasing IV fluids.

D. A blood pressure decrease to 112/72 mm Hg is minimal and not concerning.

A. Propofol B. Naloxone C. Flumazenil D. Protamine sulfate

Correct Answer is B

Explanation

A. Propofol is a sedative and would worsen respiratory depression.

B. Naloxone is the antidote for opioid-induced respiratory depression and should be administered immediately.

C. Flumazenil reverses benzodiazepine effects and is not appropriate for opioid overdose.

D. Protamine sulfate is used to reverse the effects of heparin and is unrelated to fentanyl toxicity.

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A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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