The pediatric nurse would expect that patient-controlled analgesia (PCA) would be most appropriate for which client?
1. 12-year-old client who is postoperative for spinal fusion for scoliosis
2. 10-year-old client who has a fractured femur and concussion from a bike accident
3. 5-year-old client who is postoperative for tonsillectomy
4. Developmentally delayed 16-year-old client who is postoperative for bone surgery.
1
Explanation:
1. PCA is most appropriate in children 5 years old and older. Children must be able to press the button and understand that they will receive pain medicine by pushing the button.
2. Children who have suffered head trauma would not be candidates for PCA.
3. PCA generally is prescribed for clients who will be hospitalized for at least 48 hours.
4. Children who are developmentally delayed would not be candidates for PCA.
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