Untitled Quiz

Play an AI-generated podcast conversation about this lesson

What is the primary focus of nursing interventions when delivering a PCA pump to a terminally ill patient?

Guide the family on recognizing signs of morphine overdose.
Teach the family about alternative therapies for pain management.
Provide emotional support to the family considering the situation.
Ensure the family understands how to operate the pump and manage side effects. (correct)

In cases of severe intractable pain, which intervention is likely to be ineffective?

Neurologic approaches to pain management.
Increasing exercise to distract from pain. (correct)
Investigating alternative pain management options abroad.
Using pharmacologic pain relief methods.

What should be included in family education when using a PCA pump at home?

Monitoring medication intake and recognizing side effects. (correct)
Encouraging alternative pain relief methods.
Understanding the theories behind pain management.
Discussing relocation options for caregiving.

Which of the following actions is least appropriate when managing chronic pain in a homebound patient?

Suggesting increased physical activity. (B) Signup and view all the answers

What role does psychosocial support play in caring for families of terminally ill patients?

It helps the family cope with emotional distress. (A) Signup and view all the answers

Why is it important to teach families about the side effects of medication used in PCA?

To ensure they can recognize potential dangers to the patient. (C) Signup and view all the answers

What might be a consequence of suggesting relocation to long-term care for pain management?

It may give the impression that pain management is not achievable. (D) Signup and view all the answers

When assessing pain in a patient on PCA therapy, what aspect should be prioritized?

Patient's ability to describe pain duration accurately. (A) Signup and view all the answers

What is the primary reason for significantly increased caloric needs in patients experiencing shock?

Increased release of catecholamines (A) Signup and view all the answers

In managing a patient in the progressive stage of shock, what should the nursing focus primarily be on?

Assessing and understanding changes in assessment data (C) Signup and view all the answers

Which of the following statements accurately reflects the nutritional needs of patients in shock?

Patients in shock may require around 3,000 calories daily. (B) Signup and view all the answers

What factor is least likely to contribute to the physiologic changes seen in shock?

Increased gastrointestinal function (A) Signup and view all the answers

How should a nurse prioritize interventions when a patient is suspected to be in shock?

Report subtle assessment changes immediately (D) Signup and view all the answers

Which of the following interventions is critical for patients in shock regarding their nutritional needs?

Meeting high caloric demands through appropriate dietary management (D) Signup and view all the answers

In the context of providing care for patients in shock, what role does education play for family members?

Education is essential to help family understand physiological changes and care tasks. (A) Signup and view all the answers

What should a nurse do if fluid loss occurs due to decreased skin integrity?

Increase fluid management and monitor input and output closely. (C) Signup and view all the answers

What is the most appropriate response from the nurse regarding the patient's increasing need for analgesia?

Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings the patient relief. (D) Signup and view all the answers

Which factor emphasizes the reason why stress from pain is particularly harmful in the elderly?

The stress of pain can lead to significant endocrine, immunologic, and inflammatory changes. (A) Signup and view all the answers

What is a common misconception about managing pain in patients with a history of chronic pain?

Higher doses of analgesics will always lead to better pain management. (C) Signup and view all the answers

Which technique is important for assessing a patient's pain level accurately?

Connecting with the patient to discuss their personal pain experiences. (B) Signup and view all the answers

What is a critical point for family education in managing a patient's home care for chronic pain?

Family members should learn how to assess pain and respond accordingly to changes. (A) Signup and view all the answers

How can psychosocial support for caregivers impact the care provided to patients with chronic pain?

Emotional support helps caregivers manage their stress and better care for the patient. (D) Signup and view all the answers

What aspect of pain management is essential to consider when dealing with an elderly patient?

Pain management strategies should align with the individual's overall health status and functional ability. (A) Signup and view all the answers

What misconception about pain control in cancer patients is highlighted in the nurse's interaction with the patient's wife?

Pain control methods are the same as for patients without cancer. (A) Signup and view all the answers

Intractable Pain Management

For severe, long-term pain that isn't relieved by typical pain treatments, neurologic or neurosurgical approaches may be considered as a last resort.

PCA Pump

A device that allows a patient to self-administer pain medication.

Priority for Home Health Visit (PCA)

Teach patient and family about pump operation, IV site monitoring, and medication side effects.

Home Health Care - Terminally Ill

Patient and family teaching on pump use, side effects, and IV site care is critical for safe home management.