Test Bank for Pharmacological Aspects of Nursing Care 7th Edition: Broyles

Test Bank for Pharmacological Aspects of Nursing

Care 7th Edition: Broyles

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CHAPTER 10: ANALGESICS AND ANTIPYRETICS

TRUE/FALSE

1. Pain threshold varies widely among different individuals.

ANS: F

Feedback
Correct Because pain threshold is a measure of a physiological response of the nervous
system, it tends to be about the same for most individuals.
Incorrect

PTS: 1 REF: p. 259 OBJ: Cognitive Level: Knowledge

2. Opioid doses required for the management of intractable pain of cancer usually are significantly
higher than the doses required for management of postoperative pain.

ANS: T PTS: 1 REF: p. 261

OBJ: Cognitive Level: Comprehension

3. The most common type of headache is a vascular headache, such as a migraine.

ANS: F

Feedback
Correct The most common type of headache is a tension headache.
Incorrect

PTS: 1 REF: p. 274 OBJ: Cognitive Level: Knowledge

4. Ibuprofen products should not be used with aspirin, because aspirin will decrease the effectiveness
of ibuprofen.

ANS: T PTS: 1 REF: p. 274 OBJ: Cognitive Level:

Knowledge

5. Effective analgesia may be associated with loss of consciousness.

ANS: F

Feedback
Correct Effective analgesia should not be associated with loss of consciousness.
Incorrect

PTS: 1 REF: p. 260 OBJ: Cognitive Level: Knowledge

MULTIPLE CHOICE

1. A popular theory used to explain how pain is perceived by the body is called the:
a. beta theory. c. gate theory.
 b. delta theory. d. gamma theory.
ANS: C

Feedback
A Incorrect: Beta fibers are part of the gate theory.
B Incorrect: Delta fibers are part of the gate theory.
C Correct: The gate theory is the most popular theory regarding pain.
D Incorrect: Gamma fibers are part of the gate theory.

PTS: 1 REF: p. 259 OBJ: Cognitive Level: Knowledge

2. When caring for hospitalized clients, the nurse understands that minimizing pain medication for
clients:
a. may improve recovery by avoiding oversedation.
b. results in decreased health care costs.
c. positively impacts the healing process by allowing increased mobility.
d. may lead to longer hospital stays.
ANS: D

Feedback
A Incorrect: Adequate pain management does not result in oversedation.
B Incorrect: Because it may lead to longer hospital stays, it doesn’t decrease costs.
C Incorrect: It negatively impacts on the healing process by delaying ambulation and
decreasing mobility.
D Correct: Inadequate pain management can lead to complications, including but not
limited to longer hospital stays.

PTS: 1 REF: p. 258 OBJ: Cognitive Level: Comprehension

3. Opioid drugs are not generally used for treating:

a. cough. c. diarrhea.
b. constipation. d. severe pain.
ANS: B

Feedback
A Incorrect: Opiods are used as cough suppressants.
B Correct: Constipation is the main adverse effect of opiods, so they would not be used to
treat constipation.
C Incorrect: Opiods are used to treat severe diarrhea, because they decrease GI motility.
D Incorrect: Opiods are used to treat severe pain.

PTS: 1 REF: p. 261 OBJ: Cognitive Level: Knowledge

4. Which of the following agents would be appropriate to use in the treatment of an overdose of
meperidine (Demerol)?
a. butorphanol tartrate c. hydrocodone
b. propoxyphene HCl d. naloxone
ANS: D

Feedback
 A Incorrect: This is a nonopioid analgesic.
B Incorrect: This is an opioid agonist.
C Incorrect: This is an opioid agonist.
D Correct: This is an opioid antagonist used to reverse the depressive action of opioids.

PTS: 1 REF: p. 270 OBJ: Cognitive Level: Knowledge

5. A client is receiving fentanyl IV for postoperative pain. The nurse understands that with this opiod
the client should be monitored for:
a. respiratory depression. c. alertness.
b. CNS stimulation. d. cough suppression.
ANS: A

Feedback
A Correct: Fentanyl is 80 to 100 times as potent as morphine sulfate, so respiratory
depression is a risk with this agent.
B Incorrect: This is very unlikely.
C Incorrect: Although this is part of assessing the client’s level of consciousness, this is
not the best answer.
D Incorrect: Fentanyl is not used as a cough suppressant.

PTS: 1 REF: p. 268 OBJ: Cognitive Level: Application

6. The client who has just returned from the operating room following an exploratory laparotomy is
likely to experience effective pain relief from:
a. p.o. acetaminophen. c. p.o. codeine sulfate.
b. IV morphine. d. IV ketorolac
ANS: B

Feedback
A Incorrect: Following major surgery, IV analgesia is required for pain management.
B Correct: IV (preferably PCA) morphine is the preferred analgesic for immediate
postoperative pain.
C Incorrect: Following major surgery, IV analgesia is required for pain management.
D Incorrect: Ketorolac is an anti-inflammatory and an appropriate adjunct to morphine for
postoperative pain.

PTS: 1 REF: p. 268 OBJ: Cognitive Level: Comprehension

7. The nurse is caring for the following postoperative clients. Which of these clients is at highest risk
for respiratory depression after receiving intravenous fentanyl for pain control?
a. the client with heart failure c. the client with diabetes
b. the client with asthma d. the client with liver cancer
ANS: B

Feedback
A Incorrect: Although at risk, this client is not at the greatest risk.
B Correct: A client who already is respiratory compromised would be at greatest risk for
respiratory depression secondary to fentanyl.
C Incorrect: This client is at risk but not at the greatest risk.
D Incorrect: This client is at risk but not at the greatest risk.
 PTS: 1 REF: p. 268 OBJ: Cognitive Level: Comprehension

8. The nurse is caring for a client receiving fentanyl epidural analgesia and understands to include
which of the following in her plan of care?
a. offer oral fluids as soon as possible
b. ensuring that naloxone is available.
c. turn the client hourly
d. have the client do deep breathing exercises
ANS: B

Feedback
A Incorrect: This is not the priority for a client receiving fentanyl.
B Correct: Naloxone is a narcotic/opiod antagonist used to reverse the depressive action
of fentanyl in the event the client experiences respiratory depression.
C Incorrect: Client usually are turned every two hours.
D Incorrect: This is not the priority for a client receiving fentanyl.

PTS: 1 REF: p. 270 OBJ: Cognitive Level: Application

9. The nurse understands that clients receiving intravenous infusions of morphine sulfate:
a. may require periodic dosing with diphenhydramine for itching.
b. are at high risk for developing tolerance to the drug.
c. should be placed on mandatory bedrest.
d. may experience severe diarrhea.
ANS: A

Feedback
A Correct: A common adverse effect of IV morphine is itching, which is effectively
treated with diphenhydramine.
B Incorrect: This is a false statement.
C Incorrect: This is done only if the client’s medical or surgical condition requires this.
D Incorrect: The most common adverse effect of morphine sulfate is constipation.

PTS: 1 REF: p. 262 OBJ: Cognitive Level: Comprehension

10. A client is admitted to the hospital after consuming 5 grams of aspirin. The nurse should monitor
the client for:
a. respiratory stimulation c. blood clot formation
b. heart failure d. liver failure
ANS: A

Feedback
A Correct: Salicylate toxicity leads to respiratory stimulation leading to respiratory
alkalosis.
B Incorrect: This is not a manifestation of salicylate toxicity.
C Incorrect: This is not a manifestation of salicylate toxicity. Aspirin inhibits platelet
aggregation and causes GI irritation, leading to bleeding.
D Incorrect: This is not a manifestation of salicylate toxicity.

PTS: 1 REF: p. 272 OBJ: Cognitive Level: Comprehension

11. The nurse understands that when teaching clients about acetaminophen that which of the following
should be included?
a. “It causes more gastrointestinal upset than aspirin.”
b. “Though it is a good pain reliever, it will not reduce fever.”
c. “It has anti-inflammatory activity and is effective in treating arthritis.”
d. “Take only as directed. Too much Tylenol can harm your liver.”
ANS: D

Feedback
A Incorrect: Acetaminophen causes less GI irritation than aspirin.
B Incorrect: Acetaminophen is an effective antipyretic.
C Incorrect: Acetaminophen has no anti-inflammatory qualities.
D Correct: Excess intake of acetaminophen can lead to hepatotoxicity.

PTS: 1 REF: p. 273 OBJ: Cognitive Level: Application

12. The nurse understands that the most frequent problem in implementing p.r.n. pain medication
prescriptions is:
a. selecting the wrong route of administration.
b. withholding analgesics needed by the client.
c. overmedicating the client.
d. selecting the wrong drug for pain relief.
ANS: B

Feedback
A Incorrect: The route is prescribed by the health care provider.
B Correct: To avoid undermedicating a client in pain, assess pain level hourly.
C Incorrect: Undermedicating is the problem.
D Incorrect: This is nursing knowledge and should be based on the client’s pain level.

PTS: 1 REF: p. 281 OBJ: Cognitive Level: Comprehension

13. The nurse is caring for a client taking an anticoagulant. Discharge teaching for this client should
include:
a. “You should avoid taking acetaminophen for pain or fever.”
b. “You should avoid using opioid analgesics for your postoperative pain.”
c. “Most anticoagulants are incompatible with oxycodone.”
d. “You should not take aspirin, unless specifically prescribed for you.”
ANS: D

Feedback
A Incorrect: Acetaminophen is not contraindicated for the client taking an anticoagulant.
B Incorrect: Opioid analgesics are not contraindicated for the client taking an
anticoagulant.
C Incorrect: Oxycodone is not contraindicated for the client taking an anticoagulant.
D Correct: Aspirin is contraindicated for the client taking an anticoagulant.

PTS: 1 REF: p. 283, Safe Nursing Practice 10-3

OBJ: Cognitive Level: Application
14. A child is admitted to the pediatric intensive care unit with acetaminophen overdosage. The nurse
should assess for what manifestations during the first 24 hours after ingestion:
a. right upper quadrant abdominal pain. c. jaundice and hypoglycemia.
b. nausea, vomiting, and malaise. d. constipation.
ANS: B

Feedback
A Incorrect: This occurs after 24 hours--between 24-48 hours.
B Correct: Diarrhea, anorexia, nausea, vomiting, diaphoresis, pallor, and malaise are
common manifestations that occur during the first 24 hours after ingestion.
C Incorrect: These may occur as late as 48 hours.
D Incorrect: This is not a manifestation of hepatotoxicity secondary to acetaminophen
overdose.

PTS: 1 REF: p. 283 OBJ: Cognitive Level: Application

15. All of the following statements are true about propoxyphene HCl (Darvon) except:
a. Its use may result in dizziness, sedation, and nausea.
b. Psychological and physical dependency never occur with propoxyphene HCl (Darvon)
use.
c. Clients using propoxyphene HCl (Darvon) should avoid using central nervous system
depressants.
d. Persons known to be substance abusers or suicidal should be monitored carefully while
using this drug.
ANS: B

Feedback
A Incorrect: These are adverse effects of propoxyphene HCl.
B Correct: As an opioid agonist, propoxyphene can cause psychological and physical
dependency. It is a Schedule IV narcotic.
C Incorrect: CNS depressants should be avoided when taking opioid agonists.
D Incorrect: This is true of propoxyphene HCl.

PTS: 1 REF: p. 270 OBJ: Cognitive Level: Comprehension

16. Which of the following is not a common adverse effect associated with opioid therapy?
a. severe allergic reactions c. orthostatic hypotension
b. constipation d. nausea and vomiting
ANS: A

Feedback
A Correct: Although itching is common with parenteral opioid therapy, serious allergic
reactions are rare.
B Incorrect: This is the most common adverse effect of opioid therapy.
C Incorrect: This is a common adverse effect of opioid therapy.
D Incorrect: This is more common if IV opioids are administered too rapidly.

PTS: 1 REF: p. 262 OBJ: Cognitive Level: Comprehension

17. The nurse understands that the first-line drug for the relief of ischemic chest pain associated with
an acute myocardial infarction is:
 a. fentanyl citrate c. hydromorphone HCl
b. methadone d. morphine sulfate
ANS: D

Feedback
A Incorrect: This is not the drug of choice for MI pain.
B Incorrect: This is not the drug of choice for MI pain.
C Incorrect: This is not the drug of choice for MI pain.
D Correct: Morphine is a potent analgesic, but also increases vascular capacity and
decreases vascular resistance, as well as increasing the ease of breathing through
bronchodilation.

PTS: 1 REF: p. 262 OBJ: Cognitive Level: Comprehension

18. Children who experience fever associated with viral infections of the upper respiratory tract or
chicken pox should not be treated with products containing:
a. acetaminophen (Tylenol). c. aspirin.
b. propoxyphene (Darvon). d. ibuprofen (Advil).
ANS: C

Feedback
A Incorrect: This is not contraindicated.
B Incorrect: This is not contraindicated.
C Correct: Although the exact mechanism is not understood, the use of aspirin in children
with viral infections is associated with an increased incidence of Reye syndrome.
D Incorrect: This is not contraindicated.

PTS: 1 REF: p. 272 | p. 282 OBJ: Cognitive Level:

Knowledge

19. For the client with severe acetaminophen toxicity, the nurse should be prepared to administer:
a. N-acetylcysteine (Mucomyst).
b. naltrexone (Trexan).
c. caffeine.
d. magnesium hydroxide (Milk of Magnesia).
ANS: A

Feedback
A Correct: N-acetylcysteine is the antidote for acetaminophen toxicity.
B Incorrect: This is not a treatment for acetaminophen toxicity.
C Incorrect: This is not a treatment for acetaminophen toxicity.
D Incorrect: This is not a treatment for acetaminophen toxicity.

PTS: 1 REF: p. 282 OBJ: Cognitive Level: Application

20. Ergotamine tartrate (Ergostat) is a drug that is employed in the treatment of:
a. menstrual pain. c. migraine headaches.
b. cancer pain. d. postoperative pain
ANS: C
 Feedback
A Incorrect: This medication is not used to treat menstrual pain.
B Incorrect: This medication is not used to treat cancer pain.
C Correct: Because it can be administered by inhalation, it has a rapid onset of action for
the treatment of migraine headaches.
D Incorrect: This medication is not used to treat postoperative pain.

PTS: 1 REF: p. 275 OBJ: Cognitive Level: Comprehension

21. Which of the following adverse effects should the nurse be assessing in a client receiving
sumatriptan succinate (Imitrex)?
a. constipation and abdominal distention c. wheezing and pulmonary edema
b. miosis and nasal stuffiness d. hypertension and angina
ANS: D

Feedback
A Incorrect: These are not adverse effects of sumatriptan.
B Incorrect: These are not adverse effects of sumatriptan.
C Incorrect: These are not adverse effects of sumatriptan.
D Correct: Because it causes vasoconstriction

PTS: 1 REF: p. 276 OBJ: Cognitive Level: Application

22. If a client complains of GI upset with the use of regular aspirin tablets, which of the following
would be appropriate advice to give?
a. “Taking the aspirin on an empty stomach will help.”
b. “Taking the aspirin with orange juice will decrease stomach acid.”
c. “Taking the aspirin with food or after meals should help.”
d. “Taking the liquid form of aspirin is not as hard on your stomach.”
ANS: C

Feedback
A Incorrect: This will worsen the GI upset.
B Incorrect: This will worsen the GI upset.
C Correct: Taking aspirin with food or after meals decreases GI upset.
D Incorrect: This will not decrease the GI upset.

PTS: 1 REF: p. 283, Safe Nursing Practice 10-3

OBJ: Cognitive Level: Application

23. PCA is an technique for effective pain management because it involves:

a. allowing the client to exercise control over analgesia administration.
b. the use of electric shocks to deaden a nerve.
c. the induction of general anesthesia.
d. the use of heating pads or hot packs.
ANS: A

Feedback
A Correct: As long as the client is able to use the PCA, it is the most effective form of
effective pain management.
B Incorrect: This is not how PCA works.
 C Incorrect: This is not how PCA works.
D Incorrect: This is not how PCA works.

PTS: 1 REF: p. 286, Safe Nursing Practice 10-7 OBJ: Cognitive Level:
Knowledge

24. A client was prescribed hydrocodone and acetaminophen (Vicodin), one tablet q4h p.r.n. pain. The
nurse knows the advantage of using a combination product is:
a. a lower dose of opioid analgesic will be required to achieve the same level of pain relief.
b. it is less likely to produce allergic reactions.
c. it is less likely to result in client abuse and overdose.
d. it is not a controlled substance, so the client can get as many refills as needed.
ANS: A

Feedback
A Correct: This is true of combination products.
B Incorrect: Allergies still occur with combination products.
C Incorrect: Abuse and overdose sill occur with combination products.
D Incorrect: Because of the hydrocodone ingredient, it still is a controlled substance.

PTS: 1 REF: p. 270 OBJ: Cognitive Level: Comprehension

25. A client suffers from migraine headaches. The nurse instructing the client on the appropriate use of
sumatriptan succinate (Imitrex) knows that the client understands the instructions when she replies:
a. “I should use Imitrex on a regular basis to prevent migraine headaches.”
b. “I take Imitrex by rubbing it over my forehead.”
c. “I do not take Imitrex until I notice the first sign of a migraine.”
d. “I can repeat the dose of Imitrex hourly until the migraine is relieved.”
ANS: C

Feedback
A Incorrect: It should be administered at the first sign of a migraine headache. It is used to
treat, not prevent migraine headaches.
B Incorrect: This agent is not available in topical form.
C Correct: It should be administered at the first sign of a migraine headache. It is used to
treat, not prevent migraine headaches.
D Incorrect: Additional doses should not be administered to treat the headache because of
adverse effects of vasoconstriction.

PTS: 1 REF: p. 276 OBJ: Cognitive Level: Evaluation

26. A placebo is being used to treat a client for complaint of chronic pain. The client learns that she is
being treated with a placebo and asks the nurse why she is not being given “real pain medication.”
The nurse’s best response is:
a. “There is no particular medication useful in treating your pain. Placebos have been shown
to be effective in beginning the self-healing process.”
b. “Placebos are real pain medications and should be effective in treating the chronic pain
you are experiencing.”
c. “Your pain is psychological; therefore, no medication will help.”
d. “Ask your health care provider; who prescribed it and knows what is best for you.”
ANS: A
 Feedback
A Correct: This is an appropriate response by the nurse--true, yet compassionate.
B Incorrect: This is a false statement.
C Incorrect: This statement lacks compassion and client focus and is an unprofessional
nursing response.
D Incorrect: This passes the explanation process off onto the health care provider and is an
unprofessional nursing response.

PTS: 1 REF: p. 290 OBJ: Cognitive Level: Application

27. A client has just returned from back surgery. He has an epidural catheter in place for postoperative
pain control. The nurse knows that which of the following is true about an epidural catheter?
a. The catheter can be used to administer medications other than the prescribed pain
medication.
b. All opioid analgesics used for epidural administration must be preservative-free.
c. Respiratory depression does not occur when the epidural catheter is used for opioid
analgesic administration.
d. The epidural catheter is inserted into a vein in the back.
ANS: B

Feedback
A Incorrect: Only certain medications can be administered via epidural.
B Correct: All opioid analgesics used for epidural administration must be
preservative-free.
C Incorrect: Respiratory depression can occur with epidural analgesia.
D Incorrect: The epidural catheter is inserted into the epidural space of the spinal column.

PTS: 1 REF: p. 289 OBJ: Cognitive Level: Comprehension

28. A client is two days postoperative from a right lower lobectomy and has been receiving morphine
sulfate 2 mg intravenously q.4h p.r.n. for postoperative pain. It has been two hours since his last
dose, and he is now requesting pain medication. When the nurse enters the client’s room to
administer the morphine, the client states his pain level is 8/10. What is the best action by the
nurse?
a. Tell the client his health care provider said he could only be medicated every four hours.
b. Tell the client that his respiration rate is a little low, so he will have to wait several more
hours before receiving the morphine.
c. Tell the client he still has two hours to wait for his medication.
d. Collaborate with the health care provider to decrease the dosing interval.
ANS: D

Feedback
A Incorrect: This is not an appropriate nursing response to a client in pain.
B Incorrect: There is no evidence that the client’s respirations are not within defined
limits.
C Incorrect: This is not an appropriate nursing response to a client in pain.
D Correct: The half-life of morphine IV is 20 minutes with a duration of one-to-two
hours, so the nurse should collaborate with the health care provider concerning the
morphine prescription.
 PTS: 1 REF: p. 284 OBJ: Cognitive Level: Application

29. After a postoperative client rates her pain level as 6/10. The nurse’s first action should be to:
a. assess the client’s position for alignment and comfort.
b. assist the client to the bathroom to void.
c. administer the medication as prescribed.
d. turn off the client’s television.
ANS: A

Feedback
A Correct: The client’s position should be assessed for alignment and comfort and the
client repositioned as needed.
B Incorrect: This is only done if the client needs to void, which would be more
comfortable after the administration of the analgesia.
C Incorrect: The client’s position should be assessed to see if this is contributing to her
level of pain.
D Incorrect: Diversion is a pain-relieving measure.

PTS: 1 REF: p. 280, Safe Nursing Practice 10-1

OBJ: Cognitive Level: Application

30. The family of a terminally ill client asks the nurse about hospice. The nurse’s best response would
be:
a. “Hospice provides in-home care for the clients with cancer or AIDS.”
b. “Hospice provides end-of-life care with a focus on pain management and client dignity.”
c. “Hospice has inpatient facilities for clients whose families are unable to care for them.”
d. “Hospice is a great organization. I have a friend who works for them and really loves her
job.”
ANS: B

Feedback
A Incorrect: Hospice care is not limited to cancer and AIDS clients, and this is not the best
answer.
B Correct: This is the most appropriate and complete description of hospice.
C Incorrect: This is not the purpose of the inpatient hospice facilities. They do provide
hospice care in nursing homes, hospitals, and at home.
D Incorrect: This does not address the family’s inquiry.

PTS: 1 REF: p. 291 OBJ: Cognitive Level: Application

31. The nurse has medicated a three-day postoperative client with oxycodone. After documenting the
medication administration, the nurse should plan to:
a. reassess the client in 2 hours c. reassess the client in 10 minutes
b. reassess the client in 45 minutes d. assess the client’s vital signs
ANS: B

Feedback
A Incorrect: This time interval is too long.
B Correct: After oral administration, the client should be reassessed in 30-45 minutes.
C Incorrect: The medication has not reached systemic circulation this quickly.
D Incorrect: There is nothing in the scenario to indicate that the client needs to have vital
 signs checked at this point.

PTS: 1 REF: p. 291, Safe Nursing Practice 10-9

OBJ: Cognitive Level: Application

32. A postoperative child is prescribed morphine sulfate IV for pain. The recommended dose of
morphine sulfate is 0.1 mg- 0.2 mg/kg/dose. What is the safe dose for this child who weighs 18
pounds?
a. 0.1 mg to 0.2 mg c. 0.8 mg to 1.6 mg
b. 1.6 mg to 3.2 mg d. 0.8 mg/kg to 1.6 mg/kg
ANS: C

Feedback
A Incorrect: This dose is not correct.
B Incorrect: This dose is not correct.
C Correct: Divide 18 pounds by 2.2 = 8.2 kg X 0.1 mg = 0.8 mg; 8.2 kg X 0.2 mg = 1.6
mg
D Incorrect: The answer should be in mg not mg/kg, which would change the
recommended dose.

PTS: 1 REF: p. 103 OBJ: Cognitive Level: Application

33. A client is prescribed fentanyl citrate IV for moderate pain. The recommended dose is 2-20
mcg/kg/dose. What is the maximum dose for this client that weighs 110 pounds?
a. 1110 mcg c. 1000 mcg/kg
b. 1 mg d. 1 mcg
ANS: B

Feedback
A Incorrect: This dose exceeds the recommended dose.
B Correct: Divide 110 pounds by 2.2 = 50 kg X 20 mcg = 1000 mcg or 1 mg.
C Incorrect: The dose should be in mcg or mg not mcg/kg; you can develop a new
recommended dose.
D Incorrect: This dose is too small.

PTS: 1 REF: p. 103 OBJ: Cognitive Level: Application

MULTIPLE RESPONSE

1. Prior to initiating PCA for a postoperative client, the nurse should:

a. teach the client and family about PCA.
b. assess client’s ability to use the PCA dosing button.
c. teach the family how to dose the client, if client can’t.
d. administer a bolus dose of the PCA analgesic.
ANS: A, B

Feedback
Correct a. and b. are appropriate nursing actions.
Incorrect The family should not dose the client. The nurse only administers a bolus of PCA
medication if it is prescribed.
Test Bank for Pharmacological Aspects of Nursing Care 7th Edition: Broyles

PTS: 1 REF: p. 286, Safe Nursing Practice 10-7

OBJ: Cognitive Level: Application

2. The nurse’s client is using PCA morphine sulfate for pain management postoperatively; the nurse
understand’s the responsibility to:
a. monitor the IV site for infiltration and phlebitis.
b. administer a bolus dose of epidural morphine sulfate every four hours.
c. push the button for the client, if incapacitated.
d. assess the client’s level of comfort.
ANS: A, D

Feedback
Correct a. and d. are nursing responsibilities when caring for a client using PCA.
Incorrect b. is the responsibility of the health care provider; the nurse should not push the
dosing button for the client.

PTS: 1 REF: p. 286, Safe Nursing Practice 10-7

OBJ: Cognitive Level: Application

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