A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?

A. The nurse monitors the client for oversedation. This is an appropriate action. The nurse should monitor the client for signs of oversedation, which is a potential risk with the use of PCA devices. Close monitoring ensures the client’s safety and helps prevent complications such as respiratory depression. B. The nurse administers a PCA dose for the client. This action requires intervention by the charge nurse. With a PCA (Patient-Controlled Analgesia) device, the client is responsible for administering their own dose of medication. The nurse should not administer the dose for the client unless the PCA device is malfunctioning or the client is unable to operate it, in which case a provider's order for an alternative pain management strategy should be obtained. PCA devices are designed to allow the client to self-manage their pain while ensuring safety through preset limits. C. The nurse asks the client to demonstrate dose delivery. This is an appropriate action. The nurse should ensure that the client understands how to use the PCA device. Asking the client to demonstrate dose delivery helps verify their understanding of how to use the device safely and effectively. D. The nurse reassures the client that the PCA device will not cause an overdose. This is generally an appropriate reassurance, as modern PCA devices are programmed with safety features, including dose limits to prevent overdose. However, the nurse should still emphasize the importance of using the device according to instructions and being aware of any signs of overdose, as misuse could still occur.