A nurse is caring for a postoperative client who received a dose of opioid pain medication 30 min ago. The client is now requesting another dose of pain medication to relieve continuing acute pain. Which of the following actions should the nurse take first?
Offer to give the client a back massage using warm lotion.
Explain that the client might not receive another dose for a few hours.
Ask the client about his previous pain relief measures.
Request that the provider prescribe another dose of opioid analgesia.
The Correct Answer is C
A. Offer to give the client a back massage using warm lotion. This is a non-pharmacological intervention but may not address the client's acute pain effectively.
B. Explain that the client might not receive another dose for a few hours. This does not address the client's immediate need for pain relief.
C. Ask the client about his previous pain relief measures. This allows the nurse to assess the effectiveness of previous interventions and understand the client's pain history.
D. Request that the provider prescribe another dose of opioid analgesia. This might be necessary, but assessment of the client's pain and relief measures should be conducted first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Date of client's admission to the facility The background step includes relevant information such as the admission date, diagnosis, and medical history.
B. Summary of a change in the client's condition This information belongs in the assessment or situation step.
C. Brief explanation of the client's current condition This information belongs in the assessment step.
D. Request for provider to consult physical therapy This information belongs in the recommendation step.
Correct Answer is D
Explanation
A. Saline lock (or peripheral intravenous lock) does not significantly increase the risk for falls by itself.
B. Prescribed mucolytic help loosen mucus but do not specifically increase fall risk.
C. Age 60 years or older can be a risk factor for falls due to changes in balance, strength, and coordination. However, the risk increases significantly with advanced age, making this a relevant factor to consider.
D. Diabetic neuropathy can impair sensation in the feet, increasing the risk of falls due to lack of awareness of foot position and potential injuries.
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