A client reports pain 8 hours after surgery. The client has already received an opioid within the past 2 hours. What is the nurse's best action?
a. Assess the pain further.
b. Administer naloxone (Narcan).
c. Call the surgeon.
d. Document the finding.
A
Opioids are short acting. The client may be undermedicated. The nurse should further assess lo-cation, intensity, etc., of the pain. If the client has no respiratory depression, it is possible that the dose can be increased. The nurse would not call the surgeon until the pain is further assessed. Narcan is used to reverse opioid effects but would not be appropriate in this case. Documentation is important, but the higher priority is a more complete assessment of the client's pain.
You might also like to view...
An emergency department nurse assesses a client admitted after a lightning strike. Which assessment should the nurse complete first?
a. Electrocardiogram (ECG) b. Wound inspection c. Creatinine kinase d. Computed tomography of head
The client with psoriasis asks the nurse if the plaque buildups can be scraped off to remove them. The nurse explains:
1. Plaque cannot be removed surgically. 2. Surgical removal is considered plastic surgery, and is very costly. 3. The client would require screening to see if he is a candidate for the procedure. 4. Only very young children respond to that form of treatment.
A basic method of fixing belief whereby the person obstinately adheres to beliefs already held is called:
a. authority. c. tenacity. b. a priori. d. reasoning.
Which of the following medications is least likely to affect sleep quality?
A) diuretic B) steroid C) antidepressant D) Ambien