Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is prescribed for a client with severe chronic back pain. Thirty minutes after initiating the PCA pump, the practical nurse (PN) notes that the client has become lethargic. Which action should the PN take? A Reinforce PCA pump teaching. B Check the IV insertion site for swelling. C Determine the client's pain scale rating. D Measure the client's vital signs.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter30: Assisting With Minor Surgery
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Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is prescribed for a client with severe chronic back pain.

Thirty minutes after initiating the PCA pump, the practical nurse (PN) notes that the client has become lethargic. Which action should the PN take?

  • A Reinforce PCA pump teaching.
  • B Check the IV insertion site for swelling.
  • C Determine the client's pain scale rating.
  • D Measure the client's vital signs.
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