A nurse is teaching a client about how to use a patient-controlled analgesia (PCA) pump. Which of the following instructions should the nurse include in the teaching?
"Ask a family member to push the patient-control button when the client is sleeping."
"Several bolus doses are infused if the button is pushed repeatedly within a 5 to 10 minute timeframe before lock-out."
"There is a 30 minute lock-out limit programmed on your PCA pump."
"Use the pain scale to determine if you need to self-administer."
The Correct Answer is D
Rationale:
A. Only the client should push the PCA button. Allowing others to administer doses increases the risk of oversedation and respiratory depression.
B. The lock-out interval prevents multiple doses from being delivered in a short period, ensuring safe administration.
C. Lock-out intervals vary (often 5–15 minutes) depending on the medication and provider order, not a fixed 30 minutes.
D. The client should assess their pain using the pain scale and self-administer medication as needed within the safety parameters of the PCA pump.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Glaucoma eye drops do not restore lost vision; they lower intraocular pressure to prevent further optic nerve damage.
B. Glaucoma usually results from impaired outflow (drainage) of aqueous humor, not decreased production.
C. Untreated glaucoma leads to progressive optic nerve damage and irreversible blindness, making lifelong treatment essential.
D. Glaucoma typically causes gradual loss of peripheral vision; double vision is not a hallmark symptom.
Correct Answer is D
Explanation
Rationale:
A. Distraction may be helpful as an adjunct, but it does not adequately manage breakthrough cancer pain.
B. Dose adjustments may be needed for long-term management, but the immediate priority is relieving the patient’s current breakthrough pain.
C. Nonpharmacologic measures may provide some comfort but are not sufficient for breakthrough cancer pain.
D. Breakthrough pain should be treated promptly with prescribed short-acting opioid analgesics, even in patients with a history of opioid abuse. Effective pain relief is the priority in terminal cancer care.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.