A nurse is teaching a client how to use patient-controlled analgesia with morphine. Which of the following statements by the client indicates an understanding of the teaching?
"The pump will not deliver any medication during the lockout period."
"I should wait to push the pain button until the pain becomes severe."
"My partner can push the pain button for me if I fall asleep."
"I will be asked to describe and rate my pain every 8 hours."
The Correct Answer is A
A. "The pump will not deliver any medication during the lockout period.": The lockout interval is a safety feature that prevents overdose by ensuring the pump cannot deliver additional doses until a set time has passed. Understanding this helps the client use the PCA safely.
B. "I should wait to push the pain button until the pain becomes severe.": PCA is most effective when the client administers medication at the onset of pain rather than waiting for it to become severe, as early administration prevents pain from escalating.
C. "My partner can push the pain button for me if I fall asleep.": Only the client should operate the PCA pump to prevent accidental overdose. Allowing someone else to push the button violates safety protocols.
D. "I will be asked to describe and rate my pain every 8 hours.": Pain assessment should be frequent, especially in the first 24 hours of PCA use, to adjust therapy and monitor effectiveness. An 8-hour interval may not provide timely information to manage pain effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I should expect drowsiness while taking this medication.": Aspirin does not typically cause drowsiness. Clients should be informed about other possible side effects, but fatigue is not a primary concern.
B. "I need to avoid consuming green, leafy vegetables while taking this medication.": Unlike warfarin, aspirin’s anticoagulant effect is not significantly influenced by dietary vitamin K intake. There is no need to avoid green, leafy vegetables while taking aspirin.
C. "I will take the aspirin daily on an empty stomach.": Taking aspirin on an empty stomach can increase the risk of gastrointestinal irritation and ulcers. It is generally recommended to take it with food or water to reduce stomach upset.
D. "I should notify my provider if I develop ringing in my ears.": Tinnitus can be an early sign of aspirin toxicity, especially with long-term use or higher doses. Notifying the healthcare provider if this occurs indicates proper understanding of the potential adverse effects.
Correct Answer is D
Explanation
A. "Take the medication with an antacid if you have gastric distress.": Antacids can interfere with the absorption of phenytoin, reducing its effectiveness. It is not recommended to take phenytoin simultaneously with antacids.
B. "Dissolve the capsules in water prior to taking the medication.": Extended-release phenytoin capsules should be swallowed whole to maintain the time-release mechanism. Crushing or dissolving the capsules can cause rapid absorption and increase the risk of toxicity.
C. "Discontinue the medication if you experience a seizure.": Phenytoin should not be stopped abruptly, even if seizures occur, as this can precipitate status epilepticus. Any dosage concerns should be discussed with the healthcare provider before making changes.
D. "Use a soft-bristled toothbrush to brush your teeth.": Phenytoin can cause gingival hyperplasia, leading to swollen and bleeding gums. Using a soft-bristled toothbrush and practicing good oral hygiene helps minimize gum irritation and maintain oral health.
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.