The nurse is setting up the patient-controlled analgesia device to deliver morphine for postoperative pain control recognizes the need for further teaching when the client states:
"It will take about 10 minutes for the morphine to reach full effect after I press the button."
"There is a lock-out that keeps me from giving myself too many doses back to back."
"While I'm sleeping, my family can help by pressing the button for me."
"I should push the button about 10 minutes before my physical therapy begins."
The Correct Answer is A
Choice A rationale: Patient-controlled analgesia (PCA) devices provide a controlled dose of medication when the patient presses the button. However, the onset of action for morphine is typically faster than 10 minutes.
Choice B rationale: PCA devices often have a lock-out period to prevent patients from administering too many doses too quickly and risking overdose.
Choice C rationale: Patient-controlled analgesia is designed for the patient to self- administer the medication. Allowing family members to press the button may lead to inaccurate dosing.
Choice D rationale: Morphine should be administered as needed, not preemptively.
Administering the medication 10 minutes before physical therapy could result in excessive sedation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Administering the medication with an empty stomach may enhance absorption but is not the best strategy for addressing "on-off" episodes.
Choice B rationale: The correct answer. High-protein foods can interfere with the absorption of levodopa, leading to "on-off" episodes.
Choice C rationale: Vitamin B6 supplementation is not typically used to address "on- off" episodes associated with levodopa/carbidopa.
Choice D rationale: Discontinuing the drug for 10 days (a "drug holiday") is not recommended and may result in a worsening of symptoms.
Correct Answer is C
Explanation
Choice A rationale: 1500 mg is below the recommended maximum dose of acetaminophen.
Choice B rationale: 2000 mg is below the recommended maximum dose of acetaminophen.
Choice C rationale: The maximum recommended dose of acetaminophen in a 24-hour period is 4000 mg.
Choice D rationale: 5000 mg exceeds the recommended maximum dose of acetaminophen and can lead to liver damage.
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