A patient is preparing to be discharged to home with hospice. She is on a morphine patient-controlled analgesia (PCA) in the hospital
She is concerned as to whether she can stay on her morphine PCA at home even when she is not able to give herself boluses. What would be the appropriate response of the clinician?
a. "We are unable to prescribe a PCA for use at home. If you are comfortable on the PCA you should remain in the hospital."
b. "It would be possible for your nurse or another trained family member to activate the dosing button when you are unable to do so."
c. "A PCA is not an appropriate method of pain medication delivery once you are unable to use the dosing button. I will switch you to another form of pain control."
d. "You should not be concerned about your pain management at home. It will be taken care of for you."
ANS: B
You might also like to view...
A hospitalized child has been diagnosed with SIADH (syndrome of inappropriate antidiuretic hormone), a complication of his meningitis. What would the nurse expect to see on this child's lab results?
1. Hyponatremia 2. Hypocalcemia 3. Hyperglycemia 4. Hypernatremia
Which of the following responses to battering is most likely to increase over time?
a. Self-blaming by the woman b. Remorse of the man c. Severity of the abuse d. Emotional strength of the woman
A 63-year-old male client has been diagnosed with a bundle branch block. How will this client's care team most likely expect his condition to be expressed diagnostically?
A) His AV node will be performing the primary pacemaker role due to inadequacy of the SA node. B) His ECG will show a flattened P wave as a result of impaired atrial depolarization. C) Conduction from the Purkinje fibers to the bundle branches is compromised by inadequate conduction. D) His ECG will show an inordinately wide QRS complex because impulses are bypassing the normal conduction tissue.
A client is admitted to the hospital with exacerbation of heart failure, which had been stable for several years. Which finding does the nurse associate with the client's current condition?
a. Recent prescription for thyroid hormone replacement medication b. Recent onset of menopause c. Patchy areas of depigmentation on the face d. Absence of fish in the diet, but inclusion of the iodized form of table salt