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Practice Question

A nurse is caring for a postoperative patient who is using a patient-controlled analgesia (PCA) [ump with morphine. Which of the following nursing interventions is the most appropriate to ensure safe and effective pain management?

Answer Choices:

Correct Answer:

Monitor the patient's respiratory rate and sedation level every 1 - 2 hours

Rationale:

🔶 Morphine, an opioid in PCA pumps, can cause respiratory depression and sedation if overdosed or accumulated.

🔶 Frequent monitoring ensures early detection of hypoventilation or excessive sedation, preventing respiratory arrest.

🔶 The nurse must assess rate, depth, and quality of respirations, along with level of consciousness.

🔶 Documentation of these assessments helps ensure safe and effective pain management in PCA use.

🔶 This aligns with safety and monitoring principles under the National Patient Safety Goals.

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This question is from NUR 105 Eve A Exam 1 which contains 51 questions.

More Questions from This Exam
A nurse is caring for a postoperative patient who reports acute incisional pain rated 8 out of 10. Which of the following is the priority nursing intervention?

Answer Choices:

A. Reposition the patient to promote comfort
B. Offer distraction techniques such as music or guided imagery
C. Administer prescribed opioid analgesic
D. Encourage the patient to perform deep breathing exercises
A nurse is caring for a client who is scheduled for surgery in the morning. Which of the following is the most important preoperative priority for the nurse?

Answer Choices:

A. Confirm that the client has removed all jewelry and dentures
B. Educating the client about postoperative pain management options
C. Ensuring that informed consent has been signed and is in the medical record
D. Obtaining the client's preoperative vital signs
A 56-year old patient is scheduled for a laparoscopic cholecystectomy surgery in the morning. During preoperative period teaching, which of the following should the nurse include:

Answer Choices:

A. Instruct the patient on the use of an incentive spirometer
B. Discuss the importance of early ambulation after surgery
C. Teach the patient to avoid taking deep breaths postoperatively to reduce pain
D. Review pain management options, including use of patient controlled analgesic (PCA)
E. Inform the patient that mobility restrictions will continue for at least 6 months
A nurse is assessing a patient on postoperative day 3 after abdominal surgery. Which of the following findings is most indicative off wound infection?

Answer Choices:

A. Slight serosanguinous drainage and mild swelling at the incision site
B. Redness, warmth, purulent drainage and fever of 101.8 degree F (38.8 degree C)
C. Minimal discomfort and tightness at the incision site during movement
D. Small amount of dried blood on the surgical dressing
What are the key focus areas of the National Patient Safety Goals for surgery?

Answer Choices:

A. Enhancing patient satisfaction
B. Improving surgical site identification and time-out procedures
C. Reducing hospital operational costs
D. Increasing medication advertisements
From Exam
NUR 105 Eve A Exam 1

51 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Medical-Surgical
  • Answer Choices: 4
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