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