solved

Mrs. Hadley is a 62 year old female on the surgical unit. She is day one post-op bowel resection. For pain management, she has IV PCA hydromorphone (Dilaudid) via a L. arm peripheral line. Basal rate 0, PCA dose 0.5 mg, 10 minute lock out, max. 1.5 mg/ hr. In addition, she has a Q pump with ropivicaine infusing via the left abdomen.
What are some key assessments related to comfort that the nurse should perform?
How often must the nurse assess Mrs. Hadley and document about the PCA?
Can these assessments be delegated to unlicensed nursing personnel?
Four hours later, Mrs. Hadley calls for the nurse. She reports her abdominal pain is a 6 and getting worse, even though she pressed the PCA button.
What is the nurse’s best response?
If the PCA and Q pump are intact and running, what could the nurse suggest to promote comfort?

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