A nurse is caring for a client who is receiving pain medication through a pca pump. Reassess the client's pain in 30 minutes. 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. 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. By requiring students to care primarily for clients from other ethnic groups b. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving opioid medication for the treatment of postoperative pain. Inform the client that more medication is not indicated. What should the nurse do if the client refuses the next dose of analgesia?, For a client with rib fractures and a pneumothorax, the health Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing newly prescribed medications for assigned clients. Which nursing interventions are appropriate? Select all that apply. By offering multicultural health studies in nursing curricula c. developing a tolerance for the medication 4 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. Reported pain lvl E. Which of the following interventions should the nurse perform to prevent respiratory complications? A- instruct the client to exhale into the incentive spirometer every 1 to 2 hr. 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. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient recovering from knee replacement surgery. Infer that the client who does not complain has no pain. tolerating the medication well' 2. The nurse enters the patient's room and finds the patient drowsy and records the following vital signs: temperature 97. A nurse is A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. At 1000, the client describes the pain as a 5. Infuse the medication slowly b. How can this goal be best accomplished? Select one: a. 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. B. The client reports severe abdominal pain. social support e. opioid pain management most often using morphine, hydromorphone, or fentanyl. The client has never taken hydromorphone before. Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. Hydrocortisone for a client with adrenal insufficiency D. A nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. C. 1 Patient-controlled analgesia (PCA) is a method of I. Which of the following prescribed medications should the nurse question? A. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadequate. Instruct the family to refrain from pushing the button for the client while she is asleep. Monitors the client's respiratory rate and sedation. Incisional drainage C. During the first 10 to 15 min of A client reports pain and requests the prescribed pain medication. the client is requiring an increased dose of the morphine to manage the pain. 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. Client's self-report d. oxymorphone, A nursing instructor is preparing a teaching plan for a nursing The nurse is caring for a client receiving codeine sulfate for pain. The nurse's Study with Quizlet and memorize flashcards containing terms like 1. developing an addiction to morphine 3. 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. The patient complains of severe pain in the knee after receiving hydrocodone with acetaminophen (Vicodin) 2 hours previously. Administer the pain medication. What comment by the student indicates a need for further education? 1. d. The nurse determines that the client is experiencing a side or adverse effect of the medication based on which finding? 1. 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. A. A registered nurse is caring for a client who is receiving pain medication via patient-controlled analgesia (PCA). To deselect a finding, click on the finding again. 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. 2° F) orally, pulse 52 beats per Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports pain. morphine sulfate D. By screening 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. The first question you ask the client c. Which information about the release of endogenous opioids is most accurate?, After sedating a client, the a nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. Figure. 9% sodium chloride IV at 125 mL/hr. 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. Which of the following terms describes the client's unexpected response to the medication? 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. Encourage use of the incentive spirometer. Distended jugular veins 2. S Teach the client to avoid pushing the Study with Quizlet and memorize flashcards containing terms like Which is the priority assessment for a nurse caring for a client with a Patient Controlled Analgesia (PCA) pump?, The nurse is providing education to a client about the role of endogenous opioids in the transmission of pain. Bounding peripheral pulses 3. Neuro Assessment B. In some cases, PCA may be a better choice to ease pain than calling the nurse to give you pain medicine. Increase the basal rate and shorten the lock-out interval time if the client's pain level is too high. Glucometer consistently reading "lo". Gentamicin B. Regular A nurse is caring for a client who is receiving a medication that typically causes drowsiness. B- Minimize the amount of pain medication the client receives to prevent sedation. Read how to safely use PCA therapy while avoiding risks. Which of the following actions should the nurse take? A. The students demonstrate understandings of the information when they identify which as the gold standard in pain management? A. The nurse can initiate a re-evaluation of the client's pain management plan. Which is the most appropriate action by the nurse. Study with Quizlet and memorize flashcards containing terms like A nurse is contributing to a plan to teach staff about the ethical principle of justice and how it relates to pain management for clients. 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. The client is somnolent, with minimal response to physical stimulation. which of the following should the charge nurse include ? ( select all that apply) a. What client education should the nurse give this client? A. Levothyroxine for a client with a myxedema coma B. Jan 29, 2023 · Nurses are responsible for the placement of peripheral intravenous lines, setup of PCA pumps, insertion of medication into the pumps, and monitoring of the patient’s pain, sedation, and respiration. Insert a nasogastric tube B. 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. Change in blood pressure from 120/60 mm Hg to 140/80 mm Hg Study with Quizlet and memorize flashcards containing terms like A client prescribed pain medication around the clock experiences pain 1 hour before the next dose of the pain medication is due. chronic pain, A nurse is caring for a client with an amputated limb. Click to highlight the assessment findings below that the nurse should report to the provider. The nurse who is a member of the palliative care team is assessing a patient. D. With PCA you don't need to wait for a nurse. b. Which question or statement is the most correct for assessing the child's pain Using the PCA pump Press the button attached to the pump when you have pain to give yourself pain medication (see Figure 1). The pump can be programmed to give you medication in 2 ways 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. 1° F (37. Temperature of 100. 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. tr с Inform the client that because she is on PCA, vital signs will be taken every 8 hr. 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. Which of the following staff members should the nurse assign to collect this information? a. Which of the following actions should the nurse take? a. The client tells the Study with Quizlet and memorize flashcards containing terms like The nurse just finished receiving the client assignment for the day. Redness at the catheter insertion site b. "I can't place the patch on any area of my body without hair. Intravenous pump alarms constantly. Pain rating of 8 on a scale of 0-10 Study with Quizlet and memorize flashcards containing terms like The future of transcultural nursing care lies in finding ways to promote cultural competence in nursing students. , 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. Behavioral assessment c. " D. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is receiving 0. You know that the Joint Commission requires that pain be addressed at each visit. Obtain a prescription to administer more analgesics. 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. 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. 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. 8° C) d. Assess for pain control 30 minutes after administering an A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. Hydrochlorothiazide for a client with hyperparathyroidism C. Which of the following statements should the nurse make? A. . The client reports nausea and vomiting. The nurse, who is a member of the palliative care team, is assessing a client. Report of headache and stiff neck c. Patient-controlled analgesia (PCA) is a type of pain management that lets you decide when you will get a dose of pain medicine. "justice allows the client the opportunity to be treated fairly" C. Administer another dose of the medication. Delegate pain assessment to the UAP. What type of pain does the nurse understand this client is experiencing?, When completing a teaching plan for a client A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hr as needed for pain rating 7 to 10 on a 0 to 10 scale. 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. Which of the following actions should the nurse plan to take?, A nurse is reviewing discharge instructions for a client who has A nurse is caring for a client who is receiving medication that typically causes drowsiness. Assess for medication prescription for breakthrough pain. c. cutaneous pain C. 2. The client reports saving client-controlled analgesics (PCA) until the pain is intense because pain control has been inadequate. While assessing the client, the nurse notes that the medication has caused the client to become hyperactive. the nurse should document that the client is: 1. 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. Today, the client A nurse is caring for a postsurgical client whose pain is being treated with the opioid hydromorphone. GI Assessment F A nurse is caring for a client who is postoperative following abdominal surgery. codeine B. " C. 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 nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. Which of the following responses should the nurse make? 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. V. These clients Study with Quizlet and memorize flashcards containing terms like You are a new nurse in an ambulatory care setting. Study with Quizlet and memorize flashcards containing terms like A client with cancer-related pain has been prescribed a narcotic analgesic to be given around the clock. The nurse notes that the client's respiratory rate is 10 breaths per minute. Which action will the nurse take?, The nurse is caring for a client with kidney stones who reports severe pain. ", A nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. At several points throughout your history-taking d. Numeric pain scale b. "justice is 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. Apply heat The correct answer is d. "I'll put the patch on the same side as the previous patch. culture d. A severe allergy to which of the following medications is a contraindication to ceftriaxone? A. When obtaining client vital signs b. Which action by the nurse indicates the need for further education on pain control with PCA? a. What is the appropriate action by the nurse? a. 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 A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. "justice allows the client the freedom of choice" B. Which of the following staff members should the nurse assign to collect this information?, A nurse is caring for an older adult client. Which finding should the PN identify as a piece of equipment in need of repair? Pulse oximeter shows "no pulse detected". "I have to apply the patch directly over my heart. What is the nurse's most appropriate action? PCA is a method of delivering pain medication through an electronic infusion device that allows the client to self-administer pain medication on an as-needed basis The client should notify the nurse if pain control is not achieved. disease severity, a nurse is caring for a client who has a prescription for Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has experienced significant pain following a surgical procedure. The nurse states the client cannot possibly sleep with the severe pain the client described. Apply ice packs to the knee. Family and friends should never push the button. Contact the client's health care provider. 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. neuropathic pain D. An RN who is monitoring a client who started receiving a blood transfusion 5 min ago b. Initiate 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. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. When entering the client's room, the client is laughing with visitors and does not appear to be in pain. Which of the following findings Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. dietary practices c. Urinary output D. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. Provide distraction measures. When assessing the client, she notes that his respiratory rate is 4. which of the following actions should the nurse take? a. The nurse enters the client's room and finds the client drowsy and records the following vital signs: temperature 36. 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. Before the client is A nurse is caring for a client who is receiving inpatient hospice services and requests additional pain medication. Which of the following client Study with Quizlet and memorize flashcards containing terms like 1. 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. hydromorphone C. A nurse is caring for a client who is receiving pain medication through a PCA pump. stress b. Study with Quizlet and memorize flashcards containing terms like A client with chronic pain uses a machine to monitor his physiologic responses to pain. No bowel movement in 3 days 4. Tell the client he or she will have to wait for 1 hour. 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. Administer half the dosage c. a. Objective observation d. The pump will send a safe dose of the medication your care team prescribed. What is the nurse's best action? a. When is the most appropriate time to do so? a. Administer an antiemetic C. Study with Quizlet and memorize flashcards containing terms like The practical nurse (PN) is checking client care equipment in the clinic for proper functionality. What kind of pain is the client experiencing? A. Only you should push the PCA button. Blood pressure cuff pops off during Select all that apply. What teaching should the nurse do with this patient? A) Medication should be taken when pain levels are low so Study with Quizlet and memorize flashcards containing terms like The nurse is discussing pain management with a student who is caring for a 1-day postoperative abdominal surgery client who is a known opioid substance abuser. Which assessment finding requires immediate intervention from the nurse? a. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hour. Avoid diluting the solution d. A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hr as needed for pain rating 7 to 10 on a 0 to 10 scale. Which of the following findings should the nurse A nurse is caring for a client who is receiving an epidural infusion for pain management. Reinforces client teaching about using the PCA pump. The minimal effective analgesic concentration (MEAC) is the lowest plasma opioid concentration at which pain relief can be achieved. Which statement is true of this medication delivery system? -The dose that is delivered when the client activates the machine is 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. 2° C (97. Clindamycin C. 2° F) orally, pulse 52 Study with Quizlet and memorize flashcards containing terms like A group of nursing students are reviewing information about opioid analgesics. Which response by the nurse is best? a. Medication should be taken when pain levels are low so the A nurse is caring for a client who is receiving pain medication through a PCA pump. This technique for pain . 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. Administer the next dose of B. 2*F orally, pulse 52 beats per minute, blood pressure 101/ 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. 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. For which common side effects should the nurse observe?, The nurse is assessing the abdomen of a preschooler admitted for lower right quadrant pain. visceral pain B. Piperacillin, A nurse is discharge teaching a client, hospitalized for major depressive disorder and rx for amitriptyline a client with pancreatic cancer has been recieving morphine cia a subcutaneous pump for 2 weeks. 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. Opioid substance abusers are less tolerant to opioids and require decreased doses. PCA can effectively maintain the plasma MEAC, avoiding peaks and troughs that can be associated with side effects and periods of uncontrolled pain. The nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) pump. Fifteen minutes after receiving the dose, the client reports to the nurse their pain is still a 7 and has not changed. The client is competent and has been actively involved in decisions regarding care. Which of the following actions should the nurse take to minimize the risk of thrombophlebitis? a. kkfwizv hztt meca pext yudhf opii ezzk jlk bmzpxf owaebr