A client is returned to the unit from the post-anesthetic care unit (PACU). The client is crying and begging for "something for the pain." Which of these actions should the nurse take NEXT?
a. Check the PACU record to see what medications were administered and when.
b. Notify the surgeon of the client's complaints of extreme pain.
c. Prepare and administer the prescribed postoperative analgesic PRN medication.
d. Use comfort measures, and withhold analgesics in the first 3 hours of the postoperative period to allow adequate recovery from the anesthesia.
A
The later phase of postoperative nursing care begins on the clinical unit with preparation of the client's bed and collection of any special equipment required in the client's care prior to the client's arrival from the PACU. When the client arrives on the unit, the receiving nurse assists in the transfer of the client from the stretcher to the bed and assesses the client's vital signs, documenting the client's color, level of consciousness, pain, and dressings. Records of medications given prior to arrival should be checked.
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