The patient is scheduled for surgery late in the afternoon. His postoperative orders include PCA therapy. Which of the following nursing interventions is appropriate to perform?
a. Teach the patient about PCA after the patient comes out of recovery.
b. Teach the patient about PCA before surgery and before preoperative medication administration.
c. Tell the patient not to use PCA unless he can no longer tolerate the pain.
d. Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it.
B
Instruct surgical patients preoperatively. Encourage the patient to push the button on the timing unit whenever he feels pain. Tell the patient not to delay if he is experiencing pain. Pain is easier to prevent than to treat. Inform the patient and family that the patient cannot overdose with PCA if only the patient pushes the button. The family should not push the button unless instructed to do so by the nurse.
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