A nurse cares for a client with a fracture injury. Twenty minutes after an opioid pain medication is administered, the client reports pain in the site of the fracture. Which actions should the nurse take? (Select all that apply.)
a. Administer additional opioids as prescribed.
b. Elevate the extremity on pillows.
c. Apply ice to the fracture site.
d. Place a heating pad at the site of the injury.
e. Keep the extremity in a dependent position.
ANS: A, B, C
The client with a new fracture likely has edema; elevating the extremity and applying ice probably will help in decreasing pain. Administration of an additional opioid within the dosage guidelines may be ordered. Heat will increase edema and may increase pain. Dependent positioning will also increase edema.
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