The nurse is initiating a client-controlled anesthesia (PCA) pump delivering morphine sulfate for an older school-age client post-appendectomy
Prior to connecting the PCA tubing to the client's IV fluid line, which action by the nurse is the priority?
1. Clamping the PCA tubing
2. Delivering the loading dose
3. Setting the safety parameters for the infusion on the PCA pump
4. Clamping the client's primary IV fluid line
Correct Answer: 1
Before connecting the PCA to the client's IV line, the nurse should make sure the PCA tubing is clamped to avoid an accidental administration of narcotics. The loading dose is administered after properly programming the PCA pump. After connecting the PCA tubing to the client's IV line, the nurse would set the safety parameters. Clamping the client's primary IV line could result in occlusion of the IV catheter.
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