A nurse is teaching a patient about patient-controlled analgesia (PCA). Which statement made by the patient indicates to the nurse that teaching is effective?

I will only need to be on this pain medication.

I need the nurse to notify me when it is time for another dose.

I feel less anxiety about the possibility of overdosing.

I can receive the pain medication as frequently as I need to.

Answer and Explanation

The Correct Answer is C

Choice A reason: Stating exclusive reliance on PCA suggests misunderstanding. Effective PCA teaching clarifies it’s part of a multimodal pain plan, potentially including other medications or therapies. This belief may limit comprehensive pain management, risking inadequate relief or prolonged recovery.

Choice B reason: Needing nurse notification for doses indicates misunderstanding. PCA allows patient-initiated dosing within programmed limits, promoting autonomy. This statement suggests reliance on external cues, undermining PCA’s purpose of self-controlled analgesia, potentially leading to delayed or inadequate pain relief.

Choice C reason: Feeling less anxious about overdosing shows understanding of PCA safety features, like lockout intervals and dose limits, preventing excessive administration. This reflects effective teaching, as patients confident in PCA’s safety can focus on pain management, improving compliance and outcomes.

Choice D reason: Believing medication can be received as frequently as needed is incorrect. PCA has programmed lockout intervals to prevent overdosing. This misunderstanding risks patient frustration or unsafe attempts to override limits, highlighting ineffective teaching about PCA’s controlled delivery system.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: A negative fecal occult blood test suggests no gastrointestinal bleeding, reducing the urgency for a colonoscopy. Black stool can result from benign causes like iron supplements, so immediate invasive procedures are not warranted without further history or symptoms.

Choice B reason: Assuming a false negative without evidence is premature. Fecal occult blood tests are reliable for detecting bleeding. Black stool may stem from non-bleeding causes like medications or diet, and suggesting a false result could unnecessarily alarm the patient.

Choice C reason: Stress does not directly cause black stool. While stress can exacerbate gastrointestinal issues, black stool is more likely due to dietary factors, medications, or rare conditions. This question is vague and less relevant to the symptom’s likely etiology.

Choice D reason: Iron supplements commonly cause black stool due to the oxidation of iron in the gastrointestinal tract, a benign side effect. Given the negative fecal occult blood test, asking about iron supplements is the most appropriate, targeted response to identify a likely cause.

A. Perform a bladder scan. B. Increase fluids. C. Provide assistance to the bathroom. D. Insert a straight catheter.

Correct Answer is A

Explanation

Choice A reason: A bladder scan is the first step to assess urine retention noninvasively. It measures bladder volume, determining if the client is retaining urine post-catheter removal. This guides further interventions, preventing unnecessary procedures and addressing potential complications like urinary retention or bladder distention.

Choice B reason: Increasing fluids without assessing bladder volume is premature and risky. If retention exists, more fluid could exacerbate bladder distention, causing discomfort or injury. Fluid management should follow confirmation of voiding ability, ensuring the bladder can empty effectively to avoid complications.

Choice C reason: Assisting to the bathroom assumes the client can void, which may not be true post-catheter. Without confirming bladder function via a scan, this action risks missing retention, potentially leading to bladder overdistention or urinary tract complications, delaying appropriate intervention.

Choice D reason: Inserting a straight catheter is invasive and should not be the first action. Without a bladder scan to confirm retention, catheterization risks unnecessary discomfort or infection. Noninvasive assessment precedes invasive interventions to ensure patient safety and appropriate management of post-catheter voiding issues.

View Question and Answer

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

A nurse is teaching a patient about patient-controlled analgesia (PCA). Which statement made by the patient indicates to the nurse that teaching is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient expresses concerns over having black stool. The fecal occult blood test is negative. Which response by the nurse is most appropriate?

Correct Answer is D

Explanation

A nurse is caring for a client who has not voided for 8 hours following the removal of an indwelling urinary catheter. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse working in a hospital included abdominal assessment as part of patient assessment. In which patient would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes?

A nurse is caring for a patient with an ileostomy. Which action by the nurse is most appropriate?

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

A nurse is teaching a health class about colorectal cancer. Which information is incorrect and should not be included in the teaching session?

Which of the following client statements would cause the nurse to further question the client?

A nurse is teaching a patient about patient-controlled analgesia (PCA). Which statement made by the patient indicates to the nurse that teaching is effective?

A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. A nurse should associate these findings with which of the following types of urinary incontinence?

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?