Which statement indicates a nurse's lack of understanding about the use of patient-controlled analgesia (PCA) therapy?
a. Children as young as 3 years old can effec-tively and successfully use a PCA pump.
b. Two registered nurses (RNs) are required to double check the dosage and programmed administration of opioids.
c. The child should be carefully monitored for signs and symptoms of overmedication with opioids.
d. Naloxone (Narcan) should be readily available.
A
Children as young as 5 years old have effectively used PCA therapy. Further data are needed to evaluate the use of PCA therapy in children younger than 5 years of age. Two RNs are needed to check the amount of opioid being administered. Once the opioid infusion is hung and programmed, a second RN must double check the process. Children receiving PCA therapy should be monitored closely to ensure effective pain control and for signs or symptoms of overmedication. Initially, vital signs should be monitored every 15 to 30 minutes and then every 2 to 4 hours. Respiratory rate should be assessed every hour. Narcan should be readily available to reverse opioid overmedication exhibited by respiratory distress.
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During the course of a health history the nurse would like to review a client's medications. Which question is most important to ask when gathering the medication history?
1. "Can you tell me how much the co-pay is for your medications?" 2. "Do you carry health insurance?" 3. "Can you tell me about any over-the-counter or prescription medications that you take?" 4. "Where do you store your medications in your home?"
The patient who recently had a radical prostatectomy has the nursing diagnosis of ineffective sexuality patterns. What assessment by the nurse best indicates that the goals for this diagnosis have been met?
a. Patient states he can live without sex. b. Patient says that impotence is temporary. c. Patient states his needs are being met. d. Patient asks about medication for ED.
Each individual listed on the intake sheet for the crisis center resided in the area hit by a tornado. Which individual would the nurse assess as being at greatest risk for a severe crisis reaction?
1. Client A's home was destroyed, and her husband was killed. She sustained no physical injury other than bruises. No insurance was on the home. Her husband had no life insurance. She states, "I don't know what to do. I can't handle this." 2. Client B's house was badly damaged; the factory at which he worked was de-stroyed. He sustained a concussion. No insurance was on the home. He states that he's lucky. 3. Client C's home sustained only minor damage. She has a broken arm. She states, "I can still see my neighbor's home being blown apart." 4. Client D's home is intact, but his car was destroyed. Two neighbors were badly injured. He states, "I was terrified by the noise of the wind."
Potassium is secreted into the tubular filtrate in the distal tube and is exchanged for sodium
This process is regulated by which of the following? Secretion of potassium into the tubular filtrate in the distal tubule in exchange for sodium, which is absorbed is regulated by A. Antidiuretic hormone B. Aldosterone C. Epinephrine D. Osmoreceptors in the hypothalamus