A client is using patient-controlled analgesia after surgery. A family member says, "I press the button while …

Question

A client is using patient-controlled analgesia after surgery. A family member says, "I press the button while he sleeps so the pain does not come back." The client is drowsy but rousable, with respirations of 12/min. Which action should the nurse take first?

Accepted Answer

Option 3: Explain that only the client presses the button and check the sedation level

Proxy dosing defeats the safety design of patient-controlled analgesia, because sedation stops a client from pressing the button. Stopping the practice and assessing sedation protects the client immediately.

Answer

Option 1: Lower the programmed demand dose and keep watching the sedation level

Answer

Option 2: Record the family report and review the pump history at the end of the shift

Answer

Option 4: Remove the pump and ask the provider for a different route for the analgesia

A client is using patient-controlled analgesia after surgery. A family member says, "I press the button while he sleeps so the pain does not come back." The client is drowsy but rousable, with respirations of 12/min. Which action should the nurse take first?

In-depth explanation

Master the NCLEX-RN with MyMerci

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A client is using patient-controlled analgesia after surgery. A family member says, "I press the button while he sleeps so the pain does not come back." The client is drowsy but rousable, with respirations of 12/min. Which action should the nurse take first?

In-depth explanation

Master the NCLEX-RN with MyMerci