The 14-year-old patient was admitted following surgical reduction of an open femur fracture. The patient, who has reported good pain control with the patient-controlled analgesia (PCA) pump, is sleeping peacefully. During hourly rounding, the nurse observes the parent press the button to administer the bolus of pain medication. Which action by the nurse is appropriate?

Inform the parent that dosing the child while asleep may lead to respiratory depression. Family members should not press the pain medicine bolus button while the patient is asleep because this can lead to inadvertent overdose of medication. The nurse should first educate the parent about this potential complication. If the parent continues to press the administration button despite instruction otherwise, it may be necessary to change the pain management strategy or have the parent removed. Not addressing the situation may result in the patient receiving far too much medication.

The 14-year-old patient was admitted following surgical reduction...

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Pharmacological and Parenteral Therapies
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Category: Pharmacological and Parenteral Therapies
Difficulty: 6

Topics: Communication & Documentation Routes of Administration Health Care Ethics, Law, and Policy Health Promotion Inflammation Intracranial Regulation Medication and Blood Products Nursing Interventions Patient Education Pediatrics

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