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?

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

"Diarrhea is an adverse effect of morphine PCA.”

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

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

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Using PCA does not necessarily increase the client’s risk of toxicity. PCA allows the client to self-administer preset doses of pain medication, which can lead to better pain control with less risk of overdose.

Choice B rationale:

Diarrhea is not a common adverse effect of morphine. Constipation, not diarrhea, is a common side effect due to slowed gastrointestinal motility.

Choice C rationale:

Checking the client’s pain level every 8 hours is not sufficient when using PCA. Pain levels should be assessed more frequently, ideally before and after each administration of the medication. This allows for timely adjustments to the medication regimen if needed.

Choice D rationale:

Instructing the client’s visitors not to operate the PCA pump is crucial. Only the patient should administer doses to prevent overdose.

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Correct Answer is C

Explanation

Choice A rationale:

Donepezil does not decrease urinary output. It works by increasing the amount of a certain naturally occurring substance in the brain.

Choice B rationale:

Donepezil does not improve pulmonary function. Its primary function is to improve mental function.

Choice C rationale:

Donepezil improves cognitive function. It can improve thinking ability and slow the loss of these abilities in people who have Alzheimer’s disease.

Choice D rationale:

Donepezil does not decrease the incidence of seizures. In fact, patients should inform their healthcare provider if they have a history of seizures before starting donepezil.

A. Levalbuterol. B. Cromolyn. C. Budesonide. D. Ipratropium.

Correct Answer is A

Explanation

Choice A rationale:

Levalbuterol is a short-acting beta agonist, which is commonly used for quick relief in an acute asthma attack.

Choice B rationale:

Cromolyn is used as a preventive treatment for asthma, not for treating an acute attack.

Choice C rationale:

Budesonide is a corticosteroid used for long-term control and prevention of symptoms, not for immediate relief during an acute asthma attack.

Choice D rationale:

Ipratropium is used as a bronchodilator for asthma, but it’s typically not the first choice for treating an acute asthma attack.

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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 A

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