The nurse is instructing the client on how to use the client-controlled analgesia (PCA) pump. Which statement made by the client indicates an appropriate understanding of the nurse's instructions regarding the use of the PCA pump?

1. "I will push the button continually until I am pain free."
2. "I will likely overdose on pain medication with the use of the button."
3. "I will let my family control my pain medicine by allowing them to push the button."
4. "I will push the button when the pain becomes severe."


4
Rationale 1: Pushing the button continuously will not make the client receive more pain medication. This statement indicates the need for more education.
Rationale 2: The use of a PCA pump actually decreases the likelihood of an overdose. This statement indicates the need for further education.
Rationale 3: The family should not be in control of the client's pain medication. This statement indicates the need for further education.
Rationale 4: The client is taught to push the button when the pain becomes severe. This statement indicates an appropriate understanding of the teaching session.
Global Rationale: The client is taught to push the button when the pain becomes severe. This statement indicates an appropriate understanding of the teaching session. The other statements indicate the need for more education regarding the use of the PCA pump.

Nursing

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