Pediatric ATI Practice Exam

What action should the nurse take if an adolescent client has not pushed the PCA pump button for medication delivery?

1. Ask the provider to discontinue the PCA.

2. Suggest the client's parent push the button for the client.

3. Reevaluate the client in 1 hour.

4. Reinforce teaching with the client about using the PCA.

The correct answer is: Reinforce teaching with the client about using the PCA.

When an adolescent client has not pushed the PCA (patient-controlled analgesia) pump button for medication delivery, reinforcing teaching about its use is highly appropriate. The PCA pump allows patients to manage their own pain control by administering a predetermined dose of medication when they feel the need for it. If a client has not used the pump, it may indicate a lack of understanding of how it works or uncertainty about when to use it. Reinforcing teaching helps ensure the adolescent understands how to use the PCA effectively, including when to push the button for pain relief, how it works, and the importance of managing their own pain. This empowerment is crucial, especially for adolescents, who are often learning to take responsibility for their own health care. Moreover, it’s essential to ensure that the client feels comfortable and confident in using the PCA pump. By providing further instruction and addressing any questions or concerns the client might have, the nurse can facilitate better pain management and improve the client’s overall experience. Providing proper education encourages self-efficacy in pain management, which is particularly important in pediatric and adolescent care.