The nurse is working in a pediatric surgical unit. In discussing patient-controlled analgesia in a pre-op parental meeting, the nurse would explain that patient-controlled analgesia (PCA) is most appropriate for the:
1. Developmentally delayed 16-year-old, postop bone surgery.
2. 5-year-old, postop tonsillectomy.
3. 10-year-old who has a fractured femur and concussion from a bike accident.
4. 12-year-old postop spinal fusion for scoliosis.
4
Rationale:
1. Children who are developmentally delayed would not be candidates for PCA.
2. PCA generally is prescribed for clients who will be hospitalized for at least 48 hours.
3. Children who have suffered head trauma would not be candidates for PCA.
4. Patient-controlled analgesia is most appropriate in children 5 years old and older. The child must be able to press the button and understand that she will receive pain medicine by pushing the button.
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