After surgery for a ruptured appendix, a 12-year-old child is receiving morphine for pain control by way of a patient-controlled analgesia (PCA) infusion. A bolus of morphine can be delivered every 6 minutes. A parent will be staying with the child during the immediate postoperative period. What statement indicates to the nurse that the instructions about the PCA pump have been understood?1'I'll make sure that she pushes the PCA button every 6 minutes.' Correct2'She needs to push the PCA button whenever she needs pain medication.'3'I'll have to wake her up on a regular basis so she can push the PCA button.'4'I'll press the PCA button every 6 minutes so she gets enough pain medication while she's sleeping.'Morphine, an opioid analgesic, relieves pain; when control of pain is given to the child, anxiety and pain are usually diminished, resulting in a decreased need for the analgesic; only the child should press the PCA button. Having the child press the PCA button every 6 minutes is unnecessary. Although pain medication can be delivered as often as every 6 minutes, it should be used only if necessary. If the child is sleeping, the pain is under control; waking the child will interfere with rest. If the child is sleeping, the pain is under control; also, this will result in an unnecessary and excessive dosage of the opioid.

1. After surgery for a ruptured appendix, a 12-year-old child is receiving morphine for pain control by way of a patient-controlled analgesia (PCA) infusion. A bolus of morphine can be delivered every 6 minutes. A parent will be staying with the child during the immediate postoperative period. What statement indicates to the nurse that the instructions about the PCA pump have been understood?
1
'I'll make sure that she pushes the PCA button every 6 minutes.'
Correct2
'She needs to push the PCA button whenever she needs pain medication.'
3
'I'll have to wake her up on a regular basis so she can push the PCA button.'
4
'I'll press the PCA button every 6 minutes so she gets enough pain medication while she's sleeping.'

Morphine, an opioid analgesic, relieves pain; when control of pain is given to the child, anxiety and pain are usually diminished, resulting in a decreased need for the analgesic; only the child should press the PCA button. Having the child press the PCA button every 6 minutes is unnecessary. Although pain medication can be delivered as often as every 6 minutes, it should be used only if necessary. If the child is sleeping, the pain is under control; waking the child will interfere with rest. If the child is sleeping, the pain is under control; also, this will result in an unnecessary and excessive dosage of the opioid.

D!

The MMR vaccine provides maximal protection against these diseases when the first dose is administered between 12 and 15 months of age. At 2 months of age the first immunizations against diphtheria, tetanus, pertussis (DTaP), and polio are given. At 4 month of age the second doses of the DTaP and polio vaccines are given. At 6 months of age the third dose of the DTaP vaccine is given.

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B!

Morphine, an opioid analgesic, relieves pain; when control of pain is given to the child, anxiety and pain are usually diminished, resulting in a decreased need for the analgesic; only the child should press the PCA button. Having the child press the PCA button every 6 minutes is unnecessary. Although pain medication can be delivered as often as every 6 minutes, it should be used only if necessary. If the child is sleeping, the pain is under control; waking the child will interfere with rest. If the child is sleeping, the pain is under control; also, this will result in an unnecessary and excessive dosage of the opioid.
D!

Tetanus immune globulin contains ready-made antibodies and confers short-term passive immunity. Passive immunity lasts a short time, not throughout life. Immune globulins confer passive artificial immunity, not long lasting active immunity. Immune globulins are antibodies; they do not stimulate the production of antibodies.