The patient will be having medication administered through a ...

[mikaylakyoung]

The patient will be having medication administered through a patient-controlled analgesia (PCA) system after surgery.
 
  To assist the family members with an understanding of how this therapy works, which of the following explanations does the nurse offer to the family? a. The patient has control over the access to medication when he or she needs it.
  b. The patient can choose the dosage of the drug received.
  c. The patient can request the type of medication received.
  d. The patient controls the route for administering the medication.

Question 2

An 8-year-old is admitted to the pediatric unit with pneumonia. On assessment, the nurse notes that the child is warm and flushed, is lethargic, has difficulty breathing, and has moist crackles.
 
  The nurse determines that the child has which one of the following? a. Metabolic acidosis
  b. Respiratory acidosis
  c. Respiratory alkalosis
  d. Metabolic alkalosis

[Bigfoot1984]

Answer to Question 1

A

Feedback
A With a PCA system, the patient controls medication delivery.
B The PCA system is designed to deliver no more than a specified number of doses. The patient does not choose the dosage.
C The physician prescribes the type of medication to be used. The advantage for the patient is that he or she may self-administer opioids with minimal risk of overdose.
D The patient does not control the route for administration. Systemic PCA typically involves intravenous drug administration but can also be given subcutaneously.

Answer to Question 2

B
These assessment findings (i.e., warm and flushed skin, lethargy, and medical diagnosis of pneumonia) are indicative of respiratory acidosis.
Lethargy and flushed skin may be seen with metabolic acidosis, but this child has a respiratory problem with difficulty breathing, which is consistent with respiratory acidosis.
Respiratory alkalosis also may be caused with hyperventilation as a result of pneumonia, but this child's assessment findings are not consistent with respiratory alkalosis.
The client's diagnosis and assessment findings are not indicative of metabolic alkalosis.