A postoperative patient is receiving patient-controlled analgesia (PCA) for pain management. Which medication listed below should NOT be administered via PCA?
Amoxicillin
Morphine
Hydromorphone
Fentanyl
The Correct Answer is A
A. Amoxicillin: Antibiotics like amoxicillin are intended for systemic infection treatment and require scheduled or timed dosing based on pharmacokinetics. They are not appropriate for PCA, which is designed for patient-controlled analgesia, because patient self-administration could lead to underdosing or toxicity.
B. Morphine: Morphine is a potent opioid analgesic commonly administered via PCA to allow the patient to control pain relief within safe dosing limits. PCA improves pain management and patient satisfaction while minimizing delays in analgesic administration.
C. Hydromorphone: Hydromorphone is an opioid used for moderate to severe pain and is suitable for PCA delivery. The PCA device allows titration of analgesia while preventing overdose through programmed lockout intervals.
D. Fentanyl: Fentanyl, a highly potent opioid, can be safely administered via PCA for acute or postoperative pain. PCA delivery allows precise control over dosing and rapid onset of analgesia while reducing the need for frequent nurse-administered injections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1140"]
Explanation
Calculation:
- Identify oral fluid intake
Clear soda: 120 mL
Water: 360 mL
Fruit-flavored gelatin: 240 mL
Chicken broth: 120 mL
Toast is a solid food and is not included in intake.
Total oral intake = 120 + 360 + 240 + 120
= 840 mL
- Identify IV fluid intake
0.9% sodium chloride IV = 300 mL
- Calculate total fluid intake
Total intake = Oral intake + IV intake
Total intake = 840 + 300
= 1140 mL
Correct Answer is C
Explanation
A. To provide additional electrolytes during imbalance correction: While IV fluids may contain electrolytes, bolus administration is not typically used to correct gradual electrolyte imbalances. Electrolyte replacement is usually done more slowly to avoid complications like hypernatremia or hyperkalemia.
B. To maintain normal blood pressure in hypertensive patients: Bolus IV fluids are not indicated for managing hypertension. Rapid fluid administration could worsen blood pressure control in these patients.
C. To rapidly replace fluid loss due to dehydration or trauma: A large-volume IV bolus delivers fluids quickly to restore intravascular volume, improve perfusion, and prevent shock. This intervention is essential in acute dehydration, hemorrhage, or trauma to stabilize hemodynamics.
D. To treat hypothermia by warming the body rapidly: Warming fluids may assist in hypothermia management, but the primary purpose of a bolus is volume expansion, not rapid temperature correction. Warming alone is addressed separately.
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.