Which action should the practical nurse (PNA) prioritize for postoperative patient with a PCA (Patient- Controlled Analgesia) machine?

Coﬀee ground secretions drainage via nasogastric tube.

Nasogastric tube suctioning.

Assessing pain management response.

Ineﬀective pain management report:

Answer and Explanation

The Correct Answer is C

This is the correct answer because it is the most important and relevant action that the PN should do for a postoperative patient with a PCA machine. A PCA machine is a computerized device that allows the patient to self-administer a preset dose of pain medication, usually an opioid, by pressing a buton. The PCA machine is attached to an intravenous (IV) line that delivers the medication directly into the bloodstream. The PCA machine can provide eﬀective and individualized pain relief for postoperative patients, as well as increase their sense of control and satisfaction¹².

The PN should assess the pain management response of the postoperative patient with a PCA machine by monitoring their pain level, vital signs, oxygen saturation, sedation level, and side effects. The PN should use a valid and reliable pain scale, such as the numeric rating scale (NRS) or the visual analog scale (VAS), to measure the patient's pain intensity and relief. The PN should also check the settings and functioning of the PCA machine, such as the dose, lockout interval, and limit. The PN should document and report the patient's pain management response and any problems or complications with the PCA machine to the health care provider.

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Correct Answer is A

Explanation

Repositioning the client helps alleviate any discomfort or pressure points that may be interfering with their ability to find a comfortable sleeping position. Providing a back rub can promote relaxation and help the client feel more comfortable.
It is important to address non-pharmacological interventions first before considering medication options. In this case, repositioning and providing a back rub are non-invasive, non-pharmacological interventions that can be effective in promoting sleep.

B. Offering a cup of hot chocolate at bedtime may not address the underlying cause of the client's difficulty in sleeping and may not be the most appropriate intervention at this time.
C. Similarly, administering a prescribed sleep medication should only be considered after non-pharmacological interventions have been attempted and if deemed necessary by the healthcare provider.
D. Administering an as-needed (PRN) prescription for pain may be appropriate if pain is contributing to the client's difficulty in sleeping. However, repositioning and providing a back rub can be the initial interventions to address discomfort and pain before considering additional pain medication.

A. Height and weight of client prior to admission. B. History of pain medication use during the past year. C. Time of last administration of pain medication. D. Client's pain rating on a scale of 1 to 10. E. Effectiveness of last pain medication administered.

Correct Answer is ["C","D","E"]

Explanation

Prior to administering pain medication to an adult postoperative client, the practical nurse (PN) should obtain the following information:

Time of last administration of pain medication: It is important to know when the client last received pain medication to ensure that the appropriate timing for the next dose is followed.
Client's pain rating on a scale of 1 to 10: Assessing the client's current pain level helps determine the need for pain medication and the appropriate dose.
Effectiveness of last pain medication administered: Evaluating the effectiveness of the previous pain medication helps determine if the current regimen is sufficient or if adjustments need to be made.

Obtaining the height and weight of the client prior to admission and the history of pain medication use during the past year may not be directly relevant to the immediate administration of pain medication.

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Which action should the practical nurse (PNA) prioritize for postoperative patient with a PCA (Patient- Controlled Analgesia) machine?

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Naxlex Comprehensive Predictor Exams

A client who had orthopedic surgery three days ago verbalizes difficulty in sleeping. Which initial intervention is best for the practical nurse (PN) to implement?

Correct Answer is A

Explanation

Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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