A client recovering from a total hip replacement tells the nurse that she knows she has to get out of bed to walk but the pain is very severe right now and she is scared. Which of the following should the nurse do?
1. Assess the client's pain and contact the health care provider because the pain level has suddenly increased.
2. Provide pain medication and assist the client out of bed.
3. Permit the client to rest and assist her out of bed in an hour.
4. Contact physical therapy for assistance with getting the client out of bed.
Assess the client's pain and contact the health care provider because the pain level has suddenly increased.
Rationale: The client's pain level has suddenly increased, which could indicate a change in the client's status. The nurse should assess the pain level and contact the health care provider. The nurse should not just provide medication and assist the client out of bed anyway. The nurse should not leave the client to rest and assist her out of bed in an hour. Contacting physical therapy for assistance is not a wise option because the client's pain level has suddenly increased, which could indicate a change in the clinical picture.
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