The physician has ordered a patient controlled analgesia (PCA) pump for a client. Which assessment finding would cause the nurse to question the order?
A) B/P 178/92 and pulse 118
B) confused to time and place
C) right shoulder immobilizer in place
D) rates pain an 8 on a 1 to 10 scale
Ans: B
Feedback:
Clients must be cognitively and physically capable of using the PCA equipment safely. Confusion in a client would lead the nurse to question the client's ability to correctly use the PCA.
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