Author Question: The patient voices concern to the nurse regarding his PCA pump. He states that he is afraid of ... (Read 55 times)

sdfghj · **on:** Jun 25, 2018

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.

Question 2

Hospice care can be provided in which of the following settings? (Select all that apply.)

a. Home
b. Free-standing hospice facilities
c. Extended care facilities
d. Acute care facilities

princessflame2016 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

A, B, C, D
Because hospice is a philosophy of care, not necessarily a place, the services are sometimes provided at home, in free-standing hospice facilities, or in nursing home, extended care, or acute care settings.