A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?

A. During an acute asthma attack, bronchoconstriction and mucus production prevent effective exhalation of carbon dioxide, leading to its retention and respiratory distress.

B. Acute loss of alveolar elasticity is more related to conditions like emphysema, not acute asthma.

C. An asthma attack involves an exaggerated inflammatory response, not suppression.

D. Increased responsiveness of airways to allergens is a characteristic of asthma, not decreased responsiveness.

A. Family members should not press the PCA button for the client, as this can lead to overdose or complications. Only the client should control their PCA device to prevent misuse and ensure appropriate dosing.

B. Teaching the client how to use the PCA device empowers them to manage their pain effectively and safely. Proper understanding of PCA usage is crucial for optimal pain management.

C. Monitoring respiratory status is essential, but it should be done more frequently than every 4 hours due to the risk of respiratory depression from morphine. Continuous monitoring is generally preferred.

D. Administering an oral opioid for breakthrough pain may not be necessary if the PCA device is properly managed and the PCA settings are adequate for pain control.