A resident of a long-term care facility has been experiencing pain associated with sciatica, a health problem that has not previously been present. Which intervention should the nurse implement first to help control this patient's pain?
A) Provide morphine or codeine
B) Prepare a dose of acetaminophen
C) Implement nonpharmacologic measures
D) Administer fentanyl or sustained-release oxycodone
C
Feedback:
Nursing guidelines for older adults with pain include exploring nonpharmacologic means to manage pain first. If nonpharmacologic measures are unsuccessful, begin with the weakest type and dose of analgesic and gradually increase so that the patient's response can be evaluated. Morphine, codeine, fentanyl, and oxycodone should be used carefully in the older patient.
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