A nurse is providing teaching to a client who is about to begin using a PCA pump to deliver morphine for postoperative pain management. Which of the following statements by the client indicates an understanding of the teaching?

"The lockout interval prevents me from receiving too much medication."

"Each time I push the button, I receive the same amount as a morphine injection."

"My family can push the button for me on a regular basis."

"It will take about 30 minutes to feel relief after I push the button."

Answer and Explanation

The Correct Answer is A

A. "The lockout interval prevents me from receiving too much medication.": The lockout interval on a PCA pump ensures that the client cannot administer more medication than is safe within a set period, preventing overdose or over-sedation.

B. "Each time I push the button, I receive the same amount as a morphine injection.": The PCA pump delivers a smaller, controlled dose of morphine each time the button is pressed, rather than the same dose as a traditional injection.

C. "My family can push the button for me on a regular basis.": The client should be the only one pressing the PCA button to prevent overdose and ensure safe administration. Family members should not push the button for the client.

D. "It will take about 30 minutes to feel relief after I push the button.": PCA delivers pain medication on demand, and the client may feel relief within a few minutes, not 30 minutes. Pain relief can be quicker depending on the medication’s action and how it’s delivered.

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Correct Answer is A

Explanation

A. Lie down when taking the medication: Sublingual nitroglycerin causes vasodilation, which can lower blood pressure and potentially cause dizziness or fainting. The client should lie down or sit in a comfortable position to minimize the risk of falls or injury.

B. Chew the medication thoroughly: Sublingual nitroglycerin should be placed under the tongue and allowed to dissolve completely, not chewed. Chewing may affect the absorption and effectiveness of the medication.

C. Store the medication in the refrigerator: Sublingual nitroglycerin should be stored at room temperature, away from moisture and heat, not in the refrigerator. Cold storage could reduce the medication's effectiveness.

D. Check the expiration date on the medication every 6 months: While it is important to check the expiration date, every 6 months is not sufficient. The client should check the expiration date more frequently (e.g., every 3 months) and replace the medication if expired to ensure it is effective when needed.

A. Use large-print books. B. Avoid standing on chairs or ladders. C. Stay away from flickering lights. D. Minimize unnecessary room changes.

Correct Answer is B

Explanation

A. Use large-print books: Meniere’s disease primarily affects balance and hearing. Large-print books are not specifically necessary for managing Meniere’s disease, although they may benefit clients with vision impairment.

B. Avoid standing on chairs or ladders: Meniere's disease can cause vertigo, which increases the risk of falls. The nurse should advise the client to avoid activities that could lead to falls, such as standing on chairs or ladders, especially during episodes of vertigo.

C. Stay away from flickering lights: Flickering lights may trigger migraines or seizures in some individuals but are not specifically related to Meniere’s disease, avoiding flickering lights is not a primary focus for managing the disease.

D. Minimize unnecessary room changes: While minimizing sudden movements or changes in the environment can be helpful for maintaining balance, "minimizing unnecessary room changes" is not a key instruction for managing Meniere's disease.

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A nurse is providing teaching to a client who is about to begin using a PCA pump to deliver morphine for postoperative pain management. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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A nurse is caring for a client who has Meniere's disease. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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