When evaluating the effectiveness of a medication administered via a PCA pump, it is noted that the client is sedated and not easily aroused. The nurse would:
A. Insert an airway
B. Turn client to his or her side
C. Stop the PCA
D. Have expected this as a client outcome of the therapy
C
C. Client is sedated and not readily arousable. Stop PCA.
A. Instruct client to take deep breaths. Apply oxygen at 2 L per nasal cannula.
B. Elevate head of bed 30 degrees, unless contraindicated.
D. Evaluate for presence of analgesic side effects. Maintain a slightly drowsy, easily aroused client.
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