A client is receiving drugs through a PCA infusion pump. When ...

[geoffrey]

A client is receiving drugs through a PCA infusion pump. When teaching the client about this therapy, which of the following would the nurse include?
 
  A) Pain relief should occur 1 hour after pushing the control button.
  B) The control button and the button to call the nurse are the same.
  C) The control button activates administration of the drug.
  D) The machine delivers the drug every time the control button is used.

Question 2

A nurse is caring for a client who is receiving naloxone intravenously. The client develops acute pain while the drug is being administered. Which of the following would most likely explain the client's pain level?
 
  A) The drug was administered as too rapid a dose.
  B) The client's pain wasn't controlled before the administration of naloxone.
  C) The change in respiratory status has caused the increase in pain.
  D) The dosage of the naloxone was too small.

[Sarahjh]

Answer to Question 1

Ans: C
Feedback:
The nurse should inform the client that the control button activates administration of the drug. Pain relief occurs shortly after, and not an hour after, pushing the button. The nurse should educate the client on the difference between the control button and the button to call the nurse, especially when they are similar in appearance and feel. The machine does not deliver the drug every time the control button is used; the machine regulates the dose of the drug as well as the time interval between doses. If the control button is used too soon after the last dose, the machine will not deliver the drug until the correct time.

Answer to Question 2

Ans: A
Feedback:
When naloxone is given IV and the bolus is given too rapidly, withdrawal symptoms and the return of intense pain occur as the level of opioid is reduced. There is no indication that the client's pain hadn't been controlled previously. A change in the respiratory status does not lead to increased pain. If the dose was too small, the client would still be experiencing some of the effects of the opioid that is being reversed.

[geoffrey]

Gracias!

[Liddy]

TYSM