A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

"You should avoid using the PCA system if you feel that the pain is manageable without medication.

"The PCA system is designed with safety features to prevent you from receiving too much medication.

"The PCA system is programmed to deliver a specific dose of medication each time you press the button."

"You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it."

“Family members should press the PCA button for you if you are unable to do so yourself."

Answer and Explanation

Correct Answer : B,C,D

A. "You should avoid using the PCA system if you feel that the pain is manageable without medication." This is misleading as the PCA system is intended for effective pain control; clients are encouraged to use it before pain becomes severe.

B. "The PCA system is designed with safety features to prevent you from receiving too much medication." This reassures clients about the system's safety features, such as lockout mechanisms that prevent overdose.

C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." This explains how the device is pre-programmed by healthcare providers to deliver a safe, therapeutic dose.

D. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." This empowers the client to take control of their pain management within the limits set by the PCA system.

E. "Family members should press the PCA button for you if you are unable to do so yourself." This is unsafe. Only the client should press the PCA button to avoid overmedication or dosing errors.

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Correct Answer is B

Explanation

A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.

B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.

C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.

D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.

A. Pain that has been present for more than six months and is associated with ongoing tissue damage. B. Pain that occurs suddenly and is typically related to a specific injury or trauma. C. Pain that fluctuates in intensity and is often accompanied by changes in mood and behavior. D. Pain that is described as dull and persists despite the absence of an obvious cause.

Correct Answer is B

Explanation

A. Pain that has been present for more than six months and is associated with ongoing tissue damage: This describes chronic pain, which persists over time and is not indicative of acute pain.

B. Pain that occurs suddenly and is typically related to a specific injury or trauma. Acute pain is characterized by its sudden onset, often associated with a specific cause, such as injury or surgery.

C. Pain that fluctuates in intensity and is often accompanied by changes in mood and behavior: This describes chronic pain, which may have episodic flare-ups and can impact emotional well-being.

D. Pain that is described as dull and persists despite the absence of an obvious cause: This is more indicative of chronic pain, which may not be directly linked to ongoing tissue damage.

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A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

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