The nurse is providing care to a postpartum client who gave birth 4 hours ago. The client has a mediolateral episiotomy, large hemorrhoids, and states pain is a 7 on a scale of 1-10. She has a history of anaphylactic reaction to Tylenol
Based on this data, which nursing action is appropriate?
A) Encourage use of benzocaine topical anesthetic spray (Dermoplast).
B) Provide 2 oxycodone with acetaminophen (Percocet) by mouth.
C) Offer the client 800 mg ibuprofen (Advil) orally with food.
D) Run very warm water into the tub and assist her into the bath.
Answer: C
Offering ibuprofen (Advil) is the best option because the client is experiencing moderately severe pain with inflammation. Ibuprofen is a nonsteroidal anti-inflammatory drug that both reduces inflammation and provides pain relief. Oxycodone with acetaminophen (Percocet) is contraindicated because of the client's allergic reaction to acetaminophen (Tylenol). Topical anesthetic sprays such as Dermoplast can be a helpful adjunct in pain relief but are not sufficient when a client has moderately severe pain. Ice packs instead of a warm bath would be better at this stage, because they will cause vasoconstriction to reduce edema and pain relief.
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