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A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client receiving morphine through a PCA pump.

Which action by the newly licensed nurse requires intervention?

A. Instructing the client to administer a PCA dose prior to a dressing change
B. Providing increased fluids while the client is using the PCA pump
C. Informing the client's partner that only the client should administer the PCA doses
D. Maintaining the client on bed rest while the PCA pump is in use



Answer :

GinnyAnswer

Final answer:

The nurse should intervene when a newly licensed nurse instructs a client to self-administer a PCA dose prior to a dressing change to ensure safety and proper medication administration.


Explanation:

Action Requiring Intervention: Instructing the client to administer a PCA dose prior to a dressing change.
Explanation: It is not safe for the client to self-administer morphine through a PCA pump without appropriate guidance, especially before a potentially painful procedure like a dressing change. The nurse should be the one to administer the medication in such situations to ensure proper dosage and safety.

Examples:
Incorrect: Instructing the client to self-administer the PCA dose.
Correct: Assisting the client with PCA dose administration after assessing their pain level.


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