Author Question: A client who is expressing discomfort and is diaphoretic should have the most relief from: A. A ... (Read 32 times)

shofmannx20 · **on:** Jul 24, 2018

A client who is expressing discomfort and is diaphoretic should have the most relief from:

A. A straightening of the bed linens
B. A change of a wet surgical dressing
C. Administration of the prescribed medications
D. A check for tubing or other equipment stuck underneath the client

Question 2

The patient voices concern to the nurse regarding his PCA pump. He states that he is afraid of getting an overdose if he pushes the button too many times. The nurse reassures the patient that: (Select all that apply.)

a. there is a time delay (lockout) between patient doses.
b. there is a maximum dose the patient can receive.
c. the patient has a right to be concerned and needs to be careful.
d. the patient could be put on a continuous infusion instead, because it is safer.

Sophiapenny · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
C. Administer pain-relieving medications as ordered. Analgesics are the cornerstone of pain management.
A. Smoothing wrinkles in bed linens reduces pressure and irritation to skin; however, pain-relieving medication should be given first.
B. A change of a wet surgical dressing might not be needed if the client has a wet-to-dry dressing as treatment, or, if not, changing the dressing will reduce irritation to the skin but will not address the discomfort.
D. Reposition underlying tubes, wires, or equipment. Objects apply pressure directly on dependent skin surfaces.

Answer to Question 2

A, B
PCA prevents overdosing by interposing a preprogrammed delay time or lockout (usually 6 to 16 minutes) between patient-initiated doses. In addition, the prescriber may limit the total amount of opioid that the patient may receive in 1 to 4 hours (Pasero, 1999). Use basal (continuous) infusions cautiously because studies have not shown superior analgesic benefit. Continuous infusion increases the risk for opioid overdose.