Week 9 PrepU 210
After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements?
"I'll be sleepy but able to respond to your questions."
The nurse is caring for a client utilizing a Patient Controlled Analgesia (PCA) pump that is programmed to allow a bolus dose every 10 minutes. The client is sleeping with visitors at the bedside. Which of the following instructions should the nurse give the client's visitors?
"Only the client should push the pump button."
A nurse is educating a client about regional anesthesia. Which statement is accurate about this type of anesthesia?
"You will be awake and will not have sensation of the procedure."
The nurse is aware that loss of consciousness occurs with which type of anesthesia?
General
You are caring for a patient who is receiving morphine via a patient-controlled analgesia (PCA) pump. You note that the patient's respiratory rate is 10 breaths per minute. The patient is somnolent, with minimal response to physical stimulation. You should prepare to administer which of the following medications?
Intravenous naloxone (Narcan)
The anesthesiologist will use moderate (conscious) sedation during the client's surgical procedure. The circulating nurse will expect the client to:
Respond verbally during the procedure
The client was found not breathing and was transported to the hospital. A family member states the client may have taken too much pain medication because the client frequently forgets if the medication was taken. Which observation(s) by the nurse indicates therapeutic effect of naloxone hydrochloride in the client? Select all that apply.
Reverses blood pressure of 90/58. Reverses decreased respiratory rate of 10. Reverses decreased level of consciousness.
A nurse is caring for a client who is receiving morphine via a patient controlled analgesia (PCA) pump. When assessing the client, she notes that his respiratory rate is 4. What should the nurse do first?
Stop the PCA pump.
After total hip replacement, a client is receiving epidural analgesia to relieve pain. Which action is a nursing priority for this client?
assessing for sensation in the legs
The physician has ordered a patient controlled analgesia (PCA) pump for a client. Which assessment finding would cause the nurse to question the order?
confused to time and place
