The nurse is caring for a client who had extensive surgery, and is now 6 days postoperative and getting out of bed for the first time later this morning. When the nurse assesses the client for pain, the client responds, "It hurts, but I don't want to take any more drugs. I don't want to end up addicted." Which response by the nurse is the most appropriate?
1. "If you don't take the pain medication on a regular schedule, you won't get addicted."
2. "People who have real pain are unlikely to become addicted to analgesics provided to treat the pain."
3. "You are wise to be concerned, and after 6 days it is probably time to stop taking narcotics if you can manage the pain in other ways."
4. "Don't worry about getting addicted. I will make sure you don't get addicted."
2
Rationale 1: Saying that taking pain medication will not cause addiction is not a true statement.
Rationale 2: Many clients worry about becoming addicted to narcotic analgesics if they are required for more than a few days. It is important for the nurse to reassure the client by providing truthful information.
Rationale 3: There is no time limit on the length of time pain medication should be used.
Rationale 4: The nurse cannot control the client's possible addiction.
Global Rationale: Many clients worry about becoming addicted to narcotic analgesics if they are required for more than a few days. It is important for the nurse to reassure the client by providing truthful information. Saying that taking pain medication will not cause addiction is not a true statement. There is no time limit on the length of time pain medication should be used. The nurse cannot control the client's possible addiction.
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