A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
"Instruct the client's visitors not to operate the PCA pump.
"Check the client's pain level every 8 hours.
"Using morphine PCA increases the client's risk of toxicity."
"Diarrhea is an adverse effect of morphine PCA"
The Correct Answer is A
A. Only the client should operate the PCA pump to ensure self-administration within prescribed limits.
B. Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule.
C. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity.
D. Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.
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Related Questions
Correct Answer is ["1"]
Explanation
To answer this question, you need to perform the following steps:
Convert the client's weight from pounds to kilograms by dividing by 2.2. 110 lb / 2.2 = 50 kg.
Calculate the dose of amikacin in milligrams by multiplying the client's weight by the prescribed dose per kilogram. 50 kg x 5 mg/kg = 250 mg.
Calculate the volume of amikacin in milliliters by dividing the dose in milligrams by the concentration of the injection. 250 mg / 250 mg/mL = 1 mL.
Round the answer to the nearest whole number. The nurse should administer 1 mL of amikacin IM to the client.
Correct Answer is D
Explanation
The correct answer is D.
A. Dizziness: Dizziness is a common side effect of diphenhydramine, often due to its sedative properties. It is not considered an idiosyncratic reaction because it is a predictable and expected response to the medication.
B. Nausea: Nausea can occur with diphenhydramine use, especially if taken on an empty stomach or in higher doses. This is also a known side effect and not an idiosyncratic reaction.
C. Dry mouth: Dry mouth is another common side effect of diphenhydramine, resulting from its anticholinergic effects. This reaction is predictable and not idiosyncratic.
D. Agitation: Agitation is an idiosyncratic reaction to diphenhydramine. While the drug is typically sedating, some individuals may experience paradoxical excitation, leading to symptoms like agitation. This unpredictable response is what makes it idiosyncratic.
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