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