A 19-year-old Arab male is in the hospital for a ruptured appendix. His parents are at the bedside the majority of his waking hours. The nurse caring for him during the day observes that he denies any pain during the day shift
The night nurse reported that the client had requested pain medication every 4 hours during the night. The nurse considers the most probable explanation for this to be: 1. The night nurse had more time to spend with the client.
2. The client must be afraid or lonely at night and is trying to get attention.
3. The client may not report pain in the presence of his parents based on their influence or cultural beliefs.
4. The client was asking for medication at night to help him sleep.
3
Rationale 1: There is no information provided to indicate the night nurse spent more time with the client than the day/evening shifts.
Rationale 2: There is no indication the client is afraid or lonely.
Rationale 3: A client may have ethnic or cultural beliefs that influence the response to pain. Some clients may be verbal and open, while some clients may choose to be quiet and suffer with the pain. The presence of family members, especially adult family members in this situation, may influence the reporting of pain. The client may have not wanted to contradict the perceived parental expectations of how an adult Arab male was to respond to pain.
Rationale 4: There is no indication the client is experiencing difficulty sleeping.
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