The nurse prepares to administer PCA to a client. Rank the nursing interventions in sequential order
1. Allow the client to depress PCA system button.
2. Prime tubing with medication from drug reservoir.
3. Instruct client that lockout time prevents overdose.
4. Insert PCA tubing into injection port nearest client.
3, 1, 2, 4
3. The nurse initiates PCA administration by explaining the purpose and demonstrat-ing the function of PCA to the client and family to ensure client understanding of PCA and to fulfill a client right to information and informed consent.
1. Part of client preparation for PCA is to provide an opportunity for the client to try the PCA button before beginning the infusion.
2 and 4. The nurse properly programs the PCA infusion device according to agency policy and then primes the PCA tubing before inserting it into the IV port. To avoid filling a long length of IV tubing with opioid medication, the nurse uses the port closest to the client; the shorter the distance between the medication and the client, the lower the amount of medication in the tubing and the smaller the potential dose of accidental bolus administration.
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The nurse is administering medications to a patient with high blood pressure. The patient states, "This pill made me so sick yesterday. Are you sure I have to take it now?" The nurse should:
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A 45-year-old woman has been admitted for surgery to remove a cancerous abdominal tumor. She has been on chemotherapy and recently radiotherapy to shrink the tumor without success
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A patient who has been taking propranolol (Inderal) for 18 months reports, "I stopped taking the medication yesterday, because my blood pressure has been normal for the past 3 months
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MC In medical asepsis, the spread of microorganisms is prevented by the use of ____ and ____ asepsis
A. Clean, surgical B. Medical, surgical C. Sterile, clean D. Prevention, medical