Which of the following best describes the advantage of patient-controlled analgesia (PCA) for the client following a cesarean birth?
1. The client receives a bolus of the analgesia when pressing the button.
2. The client experiences pain relief within 30 minutes.
3. The client feels a greater sense of control and less dependence on the nursing staff.
4. The client can deliver as many doses of the medication as are needed.
3
Rationale:
1. The bolus is given by the health care provider at the beginning of therapy, and is not repeated.
2. The client experiences pain relief within 30 minutes of administration of oral pain medications. IV pain medications have rapid pain relief.
3. The client feels a greater sense of control and less dependence on the nursing staff is correct. The preset pump has a time lockout, so the client cannot deliver another dose until a specified period of time has elapsed, but it allows the client to do the administering.
4. The client is locked out of delivering as many doses as desired by the preset time lockout in the pump.
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After the death of his wife, a man tells the nurse "I can never live without her. She was my whole
life.". The most therapeutic reply for the nurse to make is a. "Remember, she is no longer suffering.". b. "Her death is a terrible loss for you.". c. "Each day will get a little better.". d. "Your friends will help you cope with this.".
A client is aware that her pregnancy is complicated because the fetus has genetic abnormalities. The nurse would avoid which statement when discussing preparation for the baby's birth?
1. "You may wish to consider delivering your baby in a high-risk perinatal unit." 2. "Babies have been born for millions of years and we will get yours here safely, too." 3. "Let's talk about your plans for parenting your baby." 4. "Are you prepared for your baby to be transferred to a higher-level facility if necessary?"
In which parts of the research report could the reader find the one most important result of the study? (Select all that apply.)
a. Abstract b. Introduction c. Methods d. Table 1 e. Results f. Discussion g. References h. Appendix
Based on the history, a nurse determines that the patient with which finding requires further assessment?
a. Occasional discharge from nipples b. Supernumerary nipples along the milk line c. Rash in the axillae associated with change in deodorant d. Mild breast swelling that fluctuates with the menstrual cycle