Summary
Summary ( 15 Questions)
A nurse is caring for a child who is receiving morphine via a patient-controlled analgesia (PCA) pump after abdominal surgery.
Which of the following actions should the nurse take? (Select all that apply.)
the nurse should monitor the child’s respiratory rate every hour, not every 2 hours, when using morphine PCA. Respiratory depression is a serious adverse effect of morphine and requires frequent assessment.
The nurse should assess the child’s pain level using a numeric rating scale and check the PCA pump settings with another nurse.
the nurse should not allow the child’s parents to push the PCA button when the child is asleep. This is called PCA by proxy and can lead to overdose and respiratory depression. Only the child should control the PCA device
the nurse should educate the child on how to use the PCA pump before surgery, not after surgery. The child should demonstrate the ability to use PCA and understand its purpose and benefits before receiving morphine.
The nurse should assess the child’s pain level using a numeric rating scale and check the PCA pump settings with another nurse.
The nurse should assess the child’s pain level using a numeric rating scale and check the PCA pump settings with another nurse.
These actions ensure that the child is receiving adequate pain relief and that the PCA pump is functioning properly and safely.