The nurse is working in a pediatric surgical unit. In discussing patient-controlled analgesia (PCA) in a preop parental meeting, the nurse would explain that PCA is most appropriate for the:
1. Developmentally delayed 16-year-old postop bone surgery.
2. 4-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. Patient-controlled analgesia (PCA) is most appropriate in children 5 years old and older. Children must be able to press the button, and to understand that they will receive pain medicine by pushing the button.
3. Children who have suffered head trauma would not be candidates for PCA.
4. PCA generally is prescribed for clients who will be hospitalized for at least 48 hours.
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