The nurse responds to the call light of a patient who has had a cervical diskectomy earlier in the day. The patient states that she is having severe pain that had a sudden onset. What is the nurse's most appropriate action?
A) Palpate the surgical site.
B) Remove the dressing to assess the surgical site.
C) Call the surgeon to report the patient's pain.
D) Administer a dose of an NSAID.
Ans: C
Feedback:
If the patient experiences a sudden increase in pain, extrusion of the graft may have occurred, requiring reoperation. A sudden increase in pain should be promptly reported to the surgeon. Administration of an NSAID would be an insufficient response and the dressing should not be removed without an order. Palpation could cause further damage.
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