The nurse is working in a pediatric surgical unit. The nurse would expect that patient-controlled analgesia would be most appropriate for which patient?
1. Twelve-year-old who is postoperative for spinal fusion for scoliosis
2. Ten-year-old who has a fractured femur and concussion from a bike accident
3. Five-year-old who is postoperative for tonsillectomy
4. Developmentally delayed 16-year-old who is postoperative for bone surgery.
1
Rationale 1: Patient-controlled analgesia is most appropriate in children five 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.
Rationale 2: Children who have suffered head trauma would not be candidates for PCA.
Rationale 3: PCA generally is prescribed for clients who will be hospitalized for at least 48 hours.
Rationale 4: Children who are developmentally delayed would not be candidates for PCA.
Global Rationale:
You might also like to view...
The client diagnosed with deep vein thrombosis (DVT) would be started on which medication immediately?
a. aspirin c. heparin b. Coumadin d. streptokinase (Streptase)
A volume of 50 mL is to infuse in 75 minutes. Calculate the EID settings in mL/hr
What will be an ideal response?
A client admitted to the healthcare facility is reported missing from his room. The client returns early the next morning. What procedure is followed by the healthcare facility with regard to this client?
A) The client needs to sign an "against medical advice" form. B) The client needs to leave the facility. C) The client needs to repeat the admission procedure. D) The client needs to have a discharge form signed by the physician.
A client has been taking chlorpromazine (Thorazine) for the past 2 weeks. He drools, has hand tremors, and walks with a shuffling gait. The nurse would correctly attribute these behaviors to:
1. Tardive dyskinesia 2. Neuroleptic malignant syndrome 3. Akinesia 4. Pseudoparkinsonism