A nurse in a health clinic is assisting in the planning of an educational program on skin cancer. Which of the following statements should be included in the presentation?

Choice A reason: The correct answer is a because auscultating the lung fields allows the nurse to determine the areas of congestion and plan the most effective positioning and techniques for chest percussion, vibration, and postural drainage.

Choice B reason: Providing mouth care is important for client comfort but is not the first step in preparing for chest physiotherapy.

Choice C reason: Cupping hands and tapping on the client’s chest repeatedly is part of the chest percussion technique but should be done after assessing the lung fields to target the appropriate areas.

Choice D reason: Positioning the client so that the lung area to be drained is above the trachea is part of postural drainage but should be planned based on the findings from auscultation.

Choice A reason: Telling the partner to call the nurse to push the button is not appropriate. PCA is designed to allow the client to self-administer pain medication based on their own perception of pain. Only the client should press the button to avoid the risk of over-sedation and respiratory depression.

Choice B reason: Encouraging the partner to press the button while the client is asleep can lead to over-medication and serious complications such as respiratory depression.

Choice C reason: Asking the partner why they think more medication is needed when the client is asleep does not address the underlying issue of inappropriate use of the PCA pump.

Choice D reason: The correct answer is d because the client should be the one to decide when more medication is needed. This ensures that the client receives the appropriate amount of pain relief based on their individual needs and prevents the risk of over-sedation.