A nurse is caring for a client who is receiving pain medication through a pca pump
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- A nurse is caring for a client who is receiving pain medication through a pca pump. Which of the following findings The nurse is caring for a client in the hospital who has been taking an analgesic for pain related to a chronic illness and has developed a tolerance to the medication. tr с Inform the client that because she is on PCA, vital signs will be taken every 8 hr. c. The client is somnolent, with minimal response to physical stimulation. The PCA pump is programmed for a 0. How should the nurse best evaluate the client's response to the medication?, The nurse administers morphine 15 mg oral solution to a client with cancer pain at 09:30. actively solicit information about the client's pain level. Which of the following actions should the nurse take to minimize the risk of thrombophlebitis? a. 4. social support e. The nurse states the client cannot possibly sleep with the severe pain the client described. Bowel sounds Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving morphine via a patient controlled analgesia (PCA) pump. Monitors the client's respiratory rate and sedation. The client reports saving client-controlled analgesics (PCA) until the pain is intense because pain control has been inadequate. 3. a nurse does not properly clean a vial of pain medication prior to withdrawing medication from the vial, which results in the client contracting an infection C. Hyperkalemia c. The client reports severe abdominal pain. 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports pain. Instruct the family to refrain from pushing the button for the client while she is asleep. Objective observation d. 2*F orally, pulse 52 beats per minute, blood pressure 101/ Study with Quizlet and memorize flashcards containing terms like A postoperative client's incisional Mapain is being treated with opioids. Which of the following actions should the nurse take to prevent this from occurring?, A nurse is caring for a client receiving tube feedings and medication. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following statements?, A client who is nonambulatory notifies the nurse that his trash can is on fire. Numeric pain scale b. The minimal effective analgesic concentration (MEAC) is the lowest plasma opioid concentration at which pain relief can be achieved. For which of the following clients should the nurse use the FLACC pain scale to assess their pain level?, A nurse is caring for a client who has severe pain and repeatedly asks for pain medication. "I'll put the patch on the same side as the previous patch. Report of headache and stiff neck c. The nurse enters the patient's room and finds the patient drowsy and records the following vital signs: temperature 97. 09:45 b. Apply heat a nurse is evaluating teaching for a client who is 2 days postoperative and is receiving morphine through a PCA pump. When should the nurse reassess the client for peak effect? a. Administer half the dosage c. stress b. In addition to pain assessment, what assessments should the nurse prioritize? A) Apical heart rate and temperature B) Level of consciousness and respiratory rate C) Respiratory rate and fluid balance D) Urine output and inspection of the IV site Study with Quizlet and memorize flashcards containing terms like The nurse administers hydromorphone IV to the postoperative client as prescribed. disease severity, a nurse is caring for a client who has a prescription for A nurse is caring for a client who is receiving an epidural infusion for pain management. 10:30 3 days ago · A nurse is assisting with the card of a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. which of the following statements by the client indicates an understanding of the use of morphine through a PCA pump? 3 days ago · B. Which finding should the PN report to the charge nurse? Study with Quizlet and memorize flashcards containing terms like The purpose of a PCA is to allow the:, A nurse is teaching a client about how to use a patient-controlled analgesia (PCA) pump. 6. The nurse's Study with Quizlet and memorize flashcards containing terms like A client with an amputated arm tells a nurse that sometimes he experiences throbbing pain or a burning sensation in the amputated arm. Insert a nasogastric tube B. Redness at the catheter insertion site b. At 1000, the client describes the pain as a 5. Which of the following actions should the nurse take? Instruct the family to refrain from pushing the button for the client while the client is asleep. Increase the basal rate and shorten the lock-out interval time if the client's pain level is too high. With PCA you don't need to wait for a nurse. What is the nurse's most appropriate action? 3 days ago · A nurse is caring for a client who is receiving medication that typically causes drowsiness. Client is awake, alert, and oriented x3. The nurse enters the client's room and finds the client drowsy and records the following vital signs: temperature 36. Which of the following staff members should the nurse assign to collect this information?, A nurse is caring for an older adult client. Study with Quizlet and memorize flashcards containing terms like Which statement accurately describes a consideration when using a patient-controlled analgesia (PCA) pump to relieve client pain?, A client has been admitted to a post-surgical unit with a PCA system. 9% sodium chloride IV at 125 mL/hr. All pulses palpable. dietary practices c. What does the nurse suspect to be the cause of the client's frequent appeals for pain medication? Mar 9, 2021 · The PCA pump is safe to use because you receive medication by pressing the button when you feel pain, but the pump won’t give you the drug if it’s not time to receive another dose yet. Lung sounds clear bilaterally, S1 and S2 heart tones noted. Study with Quizlet and memorize flashcards containing terms like A client who is watching television with a visitor reports severe pain and wants pain medication. What category of pain is the client most likely experiencing 3 days ago · A client who is postoperative with abdominal distention and no bowel sounds A client who has diabetes mellitus and a blood glucose level of 105 mg/dL A client who has heart failure and 2+ pitting edema A client who is receiving maintenance IV fluids and needs a new IV catheter, For each assessment finding, click to specify if the finding is Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postoperative client who is receiving demand-dose hydromorphone via a patient-controlled analgesia (PCA) pump for pain control. Which of the following client The nurse is caring for a client who is receiving morphine via patientcontrolled analgesia (PCA). chronic pain, A nurse is caring for a client with an amputated limb. The unit transforms the data into a visual display and through seeing the pain responses, the client is taught to regulate his physiologic response and control pain through relaxation, imagery, or breathing exercises. Reinforces client teaching about using the PCA pump. 1 day ago · Study with Quizlet and memorize flashcards containing terms like The nurse just finished receiving the client assignment for the day. During the first 10 to 15 min of Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. a nurse administers scheduled pain medication and provides therapeutic distraction techniques A client who has undergone extensive fracture repair continues to request opioid pain medication with increasing frequency. PCA can effectively maintain the plasma MEAC, avoiding peaks and troughs that can be associated with side effects and periods of uncontrolled pain. Which of the following laboratory findings should the nurse monitor prior to the procedure?, A nurse is checking who was admitted with a bowel obstruction. which of the following should the charge nurse include ? ( select all that apply) a. 10:00 c. Which response by the nurse is best? a. Initiate A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. A nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. Which finding indicates the patient should be administered naloxone (Evzio)?, The registered nurse instructed the nursing student to wipe the injection port vigorously with alcohol for 15 seconds, while caring for a patient receiving intravenous pain medication. The nurse notes that the client's respiratory rate is 10 breaths/min. Behavioral assessment c. Which action should the nurse take to appropriately administer the medication?, A The nurse is preparing to administer eye drops. . Put gloves on. Encourage use of the incentive spirometer. Client presents to the ED with upper abdominal pain that radiates to the right shoulder. The client's family asks the nurse about managing the client's pain. 1. The drop factor on the manual IV tubing is 15 gtt/mL. Client also reports nausea, vomiting, and dyspepsia. Infuse the medication slowly b. When the pump is empty, an alarm lets the nursing staff know. What inference about this occurrence is most credible? The client is experiencing symptoms consistent with withdrawal between the medication dosing periods. Inform the client that he will not be able to receive more medication than the physician has ordered. A registered nurse is caring for a client who is receiving pain medication via patient-controlled analgesia (PCA). The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which assessment finding would cause the nurse to question the order? rates pain an 8 on a 0 to 10 scale confused to time and place B/P 178/92 and pulse 118 right shoulder immobilizer in place, A client reports after a back massage that his lower A registered nurse is caring for a client who is receiving pain medication via patient-controlled analgesia (PCA). Client rates pain as 7 on a scale of 0 to 10. Pain rating of 8 on a scale of 0-10 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 1 day postoperative following gynecologic surgery and reports incisional pain. 9% sodium chloride 1,000 mL to infuse over 8 hr. Which action by the nurse indicates the need for further education on pain control with PCA? a. A visit to the emergency department and subsequent diagnostic testing have resulted in a diagnosis of appendicitis. The nurse should expect which of the following laboratory findings? a. 1 day ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving total parenteral nutrition and develops refeeding syndrome. Which action will the nurse take?, The nurse is caring for a client with kidney stones who reports severe pain. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a continuous IV infusion of erythromycin lactobionate for a client who has a Bordetella pertussis infection. Which of the following actions should the nurse take first?, A nurse is providing information about pain control for a client who has acute pain following a subtotal gastric resection. Which of the following actions should the nurse take? d Instruct the family to refrain from pushing the button for the client while she is asleep. Administer another dose of the medication. visceral pain B. Which interventions should the nurse take to administer the drops? Select all that apply. Which action by the nurse indicates the need for further education on pain control with PCA? Assesses the client's pain level per agency policy. The nurse, who is a member of the palliative care team, is assessing a client. Avoid diluting the solution d. cutaneous pain C. What is the nurse's best action? a. Today, the client When the male client on his first postoperative day after chest surgery appears stoic and does not ask for any pain medication, the nurse should: document the client's lack of medication. Which of the following statements should the nurse make the client's family?, A nurse is caring for a client who reports muscle pain to lower back that has persisted for over the nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) pump. The nurse should ensure that the manual IV infusion is set to deliver how many gtt/min? Study with Quizlet and memorize flashcards containing terms like The physician has ordered a patient controlled analgesia (PCA) pump for a client. Which of the following actions should the nurse take? Instruct the family to refrain from pushing the button for the client while the client is asleep Inform the client that because they are on a PCA pump, vital signs will be taken every 8 hrs. A nurse is a nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. Which of the following instructions should the nurse include in the teaching?, A postoperative nurse is assisting a client to manage pain using a patient-controlled-analgesia (PCA) pump. "I can't place the patch on any area of my body without hair. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Hyperglycemia b. 8° C) d. 5. Which of the following should the nurse recognize as a possible complication related to the IV therapy?, A nurse administers the first dose of a client's prescribed antibiotic via intermittent IV bolus. neuropathic pain D. While assessing the client, the nurse notes that the medication has caused the client to become hyperactive. Hyponatremia d. ", A nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. The pump will send a safe dose of the medication your care team prescribed. Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a patient who is receiving opioid analgesia. What client education should the nurse give this client? A. When caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump, the nurse should closely monitor the client's pain level and adjust the settings of the PCA pump as needed. Medication should be taken when pain levels are low so the Study with Quizlet and memorize flashcards containing terms like A student asks the nurse what is the best way to assess a client's pain. Administer an antiemetic C. 2° C (97. Which assessment finding requires immediate intervention from the nurse? a. 2° F) orally, pulse 52 beats per The practical nurse (PN) is caring for a client who is receiving hydromorphone (Dilaudid) per patient-controlled analgesia (PCA) pump at 1 mg/hour basal rate for postoperative pain. What is the most appropriate action by the nurse? a. 3 days ago · A nurse is caring for a client who is receiving 0. 3 days ago · Study with Quizlet and memorize flashcards containing terms like 1. Remember, no one should press the button on the PCA pump except you. " C. The nurse is busy and forgets to assess the clients's pain and administer prescribed pain 3 days ago · A nurse is caring for a client who had total hip arthroplasty 1 day ago and is receiving morphine sulfate by PCA pump for pain control. Instruct the client to tilt the head forward, open the The correct answer is d. The nurse notes that the infusion pump for the client's TPN is turned off. Objective observation, A new nurse reports to the nurse preceptor that a client requested pain medication, and when the nurse brought it, the client was sound asleep. After the nurse confirms the presence of the fire, which of A nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. a nurse allows a client to wait longer for their pain medication than other clients B. Which of the following responses should the nurse make? A nurse is caring for a postsurgical client whose pain is being treated with the opioid hydromorphone. The client tells the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports pain. Place the drop in the conjunctival sac. What should the nurse do first?, The nurse is taking a history for a pregnant client who has been seen for chronic headaches for 2 years. b. 1 Using the PCA pump. S Teach the client to avoid pushing the A nurse is caring for a client who is receiving pain medication through a PCA pump. This technique for pain Study with Quizlet and memorize flashcards containing terms like A nurse is providing end-of-life care for a client who is unresponsive and near death. Client's self-report, A new nurse reports to the precepting nurse that a client requested pain medication, and when the nurse brought it, the Study with Quizlet and memorize flashcards containing terms like A licensed practical nurse is caring for a postoperative client who is receiving demand-dose hydromorphone via a patient-controlled analgesia (PCA) pump for pain control. Press the button attached to the pump when you have pain to give yourself pain medication (see Figure 1). Client's self-report d. Study with Quizlet and memorize flashcards containing terms like A client with chronic pain uses a machine to monitor his physiologic responses to pain. The nurse's most recent assessment reveals that the client is drowsy and drifting off during conversation with the nurse; however, the client can be aroused. ask the client's family if he ever uses pain medicines. Pull the lower lid down against the cheekbone. Which statement is true of this medication delivery system? -The dose that is delivered when the client activates the machine is a nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. 1 day ago · Study with Quizlet and memorize flashcards containing terms like A group of clients on the pediatric unit. A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. Each bolus can be administered alone or coupled with a background infusion of medication. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is caring for a client who has heart failure. 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 12 hr postoperative, is receiving PCA for pain control, and requires a blood pressure check in 10 min. Which of the following terms describes the client's unexpected response to the medication? A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. Hypophosphatemia, A nurse is assessing a client and discovers the infusion pump with the client's total Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription for hydromorphone 1 to 2 mg IM every 4 hr as needed for a pain rating of 4 to 6 on a 0 to 10 scale. culture d. which of the following actions should the nurse take? a. The nurse should prepare to administer which of the following medications? A nurse is caring for a client who is receiving a medication that typically causes drowsiness. The client's condition is worsening, making this analgesic regimen ineffective. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hour. The patient complains of severe pain in the knee after receiving hydrocodone with acetaminophen (Vicodin) 2 hours previously. Which client would the nurse see first? The client requesting to speak to the charge nurse The client slumped down in bed with an oxygen saturation of 94% The client requesting medications before breakfast The client who is agitated following surgery, The nurse a. After restarting the infusion pump, the nurse should monitor the client for which of the following findings? 3 days ago · A. The client has never taken hydromorphone before. Patient-controlled analgesia (PCA) is a type of pain management that lets you decide when you will get a dose of pain medicine. What type of pain does the nurse understand this client is experiencing?, When completing a teaching plan for a client After receiving pain medication for 7 days, the client has begun to request pain medication more frequently. Jan 29, 2023 · The goal of PCA is to efficiently deliver pain relief at a patient's preferred dose and schedule by allowing them to administer a predetermined bolus dose of medication on-demand at the press of a button. In some cases, PCA may be a better choice to ease pain than calling the nurse to give you pain medicine. Wash hands. Apply ice packs to the knee. " D. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has developed irritation to his feeding tube in the past. "I have to apply the patch directly over my heart. Which of the following findings should the nurse Study with Quizlet and memorize flashcards containing terms like A male college student age 20 years has been experiencing increasingly sharp pain in the right, lower quadrant of his abdomen over the last 12 hours. Which of the following actions should the nurse take? A. Temperature of 100. 1° F (37. Which of the following actions should the nurse plan to take?, A nurse is reviewing discharge instructions for a client who has Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient recovering from knee replacement surgery. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements?, A client who is nonambulatory notifies the nurse that his trash can is on fire. What kind of pain is the client experiencing? A. 3 days ago · The nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) pump. The nurse notes that the client's respiratory rate is 10 breaths per minute. 2. The client reports nausea and vomiting. When the nurse assesses the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. assume the client does not need medication. Family and friends should never push the button. Which of the following actions should the nurse take? Instruct the family to refrain from pushing the button for the client while she is asleep. Only you should push the PCA button. D. The initial surgeries occurred more than 2 months ago, and the nurse is concerned about the repeated requests. 1 day ago · A nurse is caring for a client who is receiving pain medication through a PCA pump. In addition to providing pharmacological interventions, the nurse will perform what action? Massage the surfaces surrounding the incision Encourage the client to visualize their next dose of analgesic Encourage the client to describe their pain to others Study with Quizlet and memorize flashcards containing terms like A charge nurse is reviewing factors that can affect a client's perception of pain with a newly licensed nurse. When assessing the client, she notes that his respiratory rate is 4. After the nurse confirms the fire, which of the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is receiving 0. 1 mg bolus dose and the lock out time is 6 minutes. Instruct the client to squeeze the eyes shut after instilling the eye drop.