Question

A client is receiving patient-controlled epidural analgesia (PCEA) following abdominal surgery. While assessing the client, the client states, "I've started having some back pain." The nurse should:

Option 1: Assess the client's cognition using the Glasgow Coma Scale.
Option 2: Assess the client's reflexes.
Option 3: Assess for epidural hematoma.
Option 4: Inspect the client's skin for signs of internal hemorrhage.

Answer 1

When a client receiving patient-controlled epidural analgesia (PCEA) reports back pain, the nurse should assess for epidural hematoma.

Step-by-step explanation:

When a client receiving patient-controlled epidural analgesia (PCEA) following abdominal surgery reports experiencing back pain, the nurse should assess for epidural hematoma. Epidural hematoma is a potential complication of epidural analgesia that can cause back pain and requires immediate medical attention. By assessing for epidural hematoma, the nurse can ensure timely intervention and prevent further complications.