Which client statement indicates to the nurse the need for further education regarding the use of a patient-controlled analgesia (PCA) pump?
Select one:
To a certain extent, I control the amount of pain medication I can have."
I need to tell a nurse if the pain is not controlled well."
I control my pain medication by pressing the button."
"I need to call a nurse when I need pain medication."
The Correct Answer is D
A. The PCA pump allows the patient to self-administer medication within safe limits set by the provider.
B. If the PCA is not effectively managing pain, the nurse needs to be informed to reassess and adjust the plan.
C. The patient can press the button to receive a controlled dose of analgesic.
D. This statement indicates the client does not understand the purpose of a PCA pump, which is designed to eliminate the need to call a nurse for each dose. This response signals the need for further teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. One of the earliest and hallmark signs of malignant hyperthermia (MH) is generalized muscle rigidity, especially masseter (jaw) muscle rigidity after administration of succinylcholine or volatile anesthetics. This occurs due to a genetic defect in calcium regulation in skeletal muscles.
B. Hypotension may occur later in the progression of MH due to cardiovascular collapse, but it is not an early sign.
C. MH is characterized by rapidly increasing body temperature (hyperthermia), not hypothermia.
D. Tachycardia (increased heart rate) is usually seen early in MH, not bradycardia (decreased heart rate).
Correct Answer is ["7.5"]
Explanation
To determine how many milliliters to administer per dose, use the formula:
Volume to administer = (Desired dose ÷ Available dose) × Volume on hand
Volume = (300,000 units ÷ 200,000 units) × 5 mL
Volume = 1.5 × 5 mL = 7.5 mL
Answer: 7.5 mL
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