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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?

A.

"Instruct the client's visitors not to operate the PCA pump.

B.

"Check the client's pain level every 8 hours.

C.

"Using morphine PCA increases the client's risk of toxicity."

D.

"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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Related Questions

Correct Answer is ["1.2"]

Explanation

  1. Convert weight from pounds to kilograms:

    • Child’s weight = 66 lb
    • Conversion factor: 1 kg = 2.2 lb
    • 66 lb ÷ 2.2 = 30 kg

  2. Calculate the total weekly dose:

    • Prescribed dose = 0.24 mg/kg/week
    • 30 kg × 0.24 mg/kg = 7.2 mg/week

  3. Determine the daily dose:

    • The dose is given six times per week
    • 7.2 mg ÷ 6 = 1.2 mg/day

The nurse should administer 1.2 mg of somatropin per dose subcutaneously to the child.

Correct Answer is A

Explanation

A. Acetaminophen can cause liver damage, and jaundice is a sign of hepatic injury.
Monitoring for jaundice is essential.
B. Acetaminophen is an antipyretic, and fever is not an adverse effect but rather an intended therapeutic effect.
C. Diarrhea is not a common adverse effect of acetaminophen.
D. Tinnitus is not typically associated with acetaminophen use.

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