A patient is on a PCA pump following an abdominal surgery. The order states the client can have 0.5mg morphine every 15 minutes as needed. The client pushed the button 10 times in the past 60 minutes. How many doses did the client receive?

Answer and Explanation

The Correct Answer is B

The PCA (patient-controlled analgesia) pump is programmed to deliver a dose of 0.5 mg of morphine every 15 minutes as needed. This setup means that only 1 dose can be administered every 15 minutes, regardless of how many times the patient presses the button.

Since 60 minutes have passed, the maximum number of doses the patient could receive is calculated as follows:

60 minutes/ 15 minutes per dose= 4 doses

Even though the patient pressed the button 10 times, the pump will only deliver a dose every 15 minutes, resulting in 4 doses.

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Correct Answer is D

Explanation

A. Apply restraints to the hands or wrists to keep the patient in bed:Restraints should only be used when absolutely necessary and as a last resort, and the client in this scenario is oriented and can follow instructions. Restraints can also increase the risk of injury, agitation, and further falls.

B. Place a belt restraint on the client when they are sitting in a chair:Belt restraints restrict movement and should only be used when other measures are insufficient to protect the client. Since the client is oriented and can follow directions, this intervention is not warranted and could cause harm.

C. Keep the bed in the lowest position with all four side rails up:
Incorrect. Raising all four side rails is considered a form of restraint and can increase the risk of injury. Clients may attempt to climb over the side rails, leading to falls. Keeping the bed in a low position is appropriate, but using all four side rails is not.

D. Educate the patient on using the call light and make sure the call light is within reach.This is the most appropriate action as the client is oriented and can follow directions. Educating the patient on how to use the call light and ensuring it is easily accessible encourages them to ask for assistance when needed, reducing the risk of falls.

A. Tell others that personal biases cannot be changed. B. Realize nothing can be done to change one's values and beliefs. C. Ask peers and colleagues how they practice cultural diversity. D. Objectively examine one's own bias, beliefs, values, and practices.

Correct Answer is D

Explanation

. Objectively examining one's own bias, beliefs, values, and practices is the best way for nurses to develop an awareness of their own culture and bias. It is important for nurses to recognize that they have their own set of beliefs and values that may influence their perceptions and interactions with patients from different cultural backgrounds. Through selfreflection and self-awareness, nurses can identify their own biases and work towards addressing them. This will help nurses provide culturally competent care and build trusting relationships with their patients. Choices A and B are incorrect because they imply that personal biases cannot be changed, which is not true. Choice C may provide some insight into how other nurses practice cultural diversity, but it does not address the nurse's own personal biases and cultural background.

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A patient is on a PCA pump following an abdominal surgery. The order states the client can have 0.5mg morphine every 15 minutes as needed. The client pushed the button 10 times in the past 60 minutes. How many doses did the client receive?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of falling at their assisted living facility. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall?

Correct Answer is D

Explanation

What would be the best way for nurses to develop an awareness of their own culture and bias?

Correct Answer is D

Explanation

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