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"

Answer and Explanation

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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Correct Answer is C

Explanation

A. Medications should be administered separately to ensure proper absorption and effectiveness.
B. This action helps prevent aspiration during medication administration but is not specific to enteral feeding tube administration.
C. Flushing the tube with normal saline helps ensure that the entire medication dose reaches the client and prevents tube blockage.
D. This action is not necessary and may disrupt the flow of the medication.

A. Scopolamine B. Acetaminophen C. Metoprolol D. Donepezil

Correct Answer is A

Explanation

A. Scopolamine is an anticholinergic medication that can cause urinary retention by blocking the parasympathetic stimulation of the bladder.
B. Acetaminophen is not associated with urinary retention.
C. Metoprolol is a beta-blocker and is not commonly associated with urinary retention.
D. Donepezil has no effect on bladder function.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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