The nurse is caring for a patient who has a PCA pump following total hysterectomy surgery. The nurse sees the visitor push the PCA button while the patient is sleeping quietly. What is the best response of the nurse?
a. "Thank you for pushing the button for her to help keep her comfortable after surgery."
b. "Please do not push the button for the patientâ€"she could receive more medication than she needs."
c. "You can push the button for her now, but please have her do it herself when she awakens."
d. "PCA pumps are great because she doesn't have to wait for me to administer her pain medication."
ANS: B
Only the patient should operate the PCA and push the administration button. Family members and visitors should never activate the PCA pump for the patient because too much medication could be delivered, resulting in overdose and respiratory suppression.
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