Answer to Question 1
A, B, C, E
Analgesics will not provide adequate pain relief if the patient waits until the pain becomes excruciating before using or requesting an analgesic. Even though around-the-clock (ATC) analgesia is more effective, most patients still have analgesics ordered prn (as needed). Pain control is essential for a surgical patient to recover quickly. Encourage the patient to use analgesics as needed and not be fearful of any dependence on pain medications after surgery. Patient-controlled analgesia (PCA) is common and provides patients with control over pain. Explain to a patient how to operate a pump and the importance of administering medication as soon as pain becomes persistent. The patient also needs to know it takes time for a drug to act and that the drug will rarely eliminate all the discomfort. Pain medication will not lengthen the recovery period, it will shorten it.
Answer to Question 2
A, B, D
Patients need to sign all consent forms before you administer any preoperative medications that alter the patient's consciousness. The primary responsibility for informing the patient rests with the surgeon and anesthesia care personnel. However, if the patient is confused or uncertain about a procedure, you are ethically obligated to contact the surgeon and/or anesthesia care provider so that further discussion and clarification are provided to meet the patient's needs. The patient always has the right to refuse surgery or treatment even after giving written consent.