IV Pumps & PCAs Quiz (wk 7)

A nurse is teaching a client about how to use a patient-controlled analgesia (PCA) pump. Which of the following instructions should the nurse include in the teaching?

"Use the pain scale to determine if you need to self-administer."

Select all true statements below:

- Infusion pumps can overcome a slight resistance to flow, unlike drip controllers. - A danger of the infusion pump is that it can infuse fluids into the tissue surrounding the vessel, causing tissue damage. - The client's IV site should be inspected at least every four hours for redness, swelling, or leaking.

The purpose of a PCA is to allow the:

Client to regulate the timing of pain medication received.

A nurse is monitoring the status of a client's fat emulsion (lipid) infusion and notes that the infusion is 1 hour behind. Which of the following actions by the nurse is appropriate?

Ensure that the fat emulsion infusion rate is infusing at the prescribed rate

The lockout interval on a PCA is designed to:

Prevent the client from receiving too much medication in too short a period.

Which of the following statements is not true regarding the nurse's responsibilities when monitoring a client with a PCA?

The nurse needs to show the client's family how to push the button of the PCA when the client is sleeping.

A postoperative nurse is assisting a client to manage pain using a patient-controlled-analgesia (PCA) pump. The nurse's primary rationale for using PCA is to:

maintain therapeutic serum levels of the drug.

A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse requires further action by the charge nurse?

"I discarded the remaining 2 milligrams of morphine from the PCA pump. Please document that you witnessed it."

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?

"Your husband should decide when more medication is needed."

A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

Allow time during the workday when each nurse can demonstrate proficiency