A patient from a nondominant culture is in the second stage of labor and is not demonstrating any manifestations of pain. What should the nurse do to support this patient?
A) Offer to provide the patient with a back rub
B) Measure the pain level with a pain rating scale
C) Discuss pain control measures with the physician
D) Nothing until the patient asks for pain medication
B
Feedback:
The patient may be from a culture where it is inappropriate to respond to pain. The nurse needs to objectively assess the patient's level of pain before implementing nonpharmacologic or pharmacologic pain management measures. Offering to provide a back rub may or may not be desired by the patient. Discussing pain control measures with the physician may be premature. Doing nothing unless the patient asks for pain medication is inappropriate, considering the patient is in the second stage of labor.
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