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 B

Explanation

Choice A rationale:

Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.

Choice B rationale:

Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.

Choice C rationale:

Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.

Choice D rationale:

Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.

A. Spread the ointment in a 10 cm² (4 in) area. B. Massage the ointment into the skin. C. Apply the ointment in a thick layer. D. Cover the administration area with plastic wrap.

Correct Answer is D

Explanation

Choice A rationale:

Spreading the ointment in a 10 cm² (4 in) area is not the recommended method for nitroglycerin ointment application. The ointment should be applied over a 6x inch area in a thin, uniform layer.

Choice B rationale:

Massaging the ointment into the skin is not advised. The ointment should be applied in a thin layer and left to absorb into the skin.

Choice C rationale:

Applying the ointment in a thick layer is not recommended. A thin, uniform layer is sufficient for therapeutic effect.

Choice D rationale:

Covering the administration area with plastic wrap is the correct action. This helps to keep the ointment in place and enhances absorption.

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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

A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis.Which of the following statements should indicate to the nurse that the client understands the teaching?

Correct Answer is B

Explanation

A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment.Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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