The nurse is assisting in developing a postoperative plan of care for a 40-year-old male Filipino-American client scheduled for an appendectomy. The nurse includes which of the fol-lowing in the plan of care?
1. Offer pain medication on a regular basis as prescribed.
2. Offer pain medication when nonverbal signs of discomfort are identified.
3. Inform the client that he will need to ask for pain medication when needed.
4. Allow the client to maintain control and request pain medication on his own.
1
Rationale: Filipino-Americans view pain as part of living an honorable life. The client may appear stoic and be tolerant of a high degree of pain. Health care providers need to offer, and in fact encourage, pain relief interventions for the Filipino-American client who does not complain of pain, despite physiological indicators. "Offer pain medication on a regular basis as prescribed" is the most appropriate intervention to include in the plan of care.
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