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, the nurse needs to perform the following steps:
Convert the child's weight from pounds to kilograms by dividing 44 by 2.2. The result is 20 kg.
Calculate the total daily dose of gentamicin by multiplying 6 mg/kg by 20 kg. The result is 120 mg/day.
Divide the total daily dose by three to get the dose for each administration. The result is 40 mg/dose.
Calculate the volume of gentamicin to be administered by dividing 40 mg by 40 mg/mL. The result is 1 mL/dose.
Therefore, the nurse should administer 1 mL of gentamicin with each dose.
Correct Answer is A
Explanation
A. Insulin lispro is a rapid-acting insulin that should be taken just before a meal to cover postprandial glucose excursions.
B. Insulin lispro and insulin glargine should not be mixed in the same syringe, as they have different onset and duration of action.
C. Insulin vials should not be shaken, as this can lead to clumping and affect the insulin's effectiveness.
D. Insulin glargine is a long-acting insulin and is typically given once a day.
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