A patient recovering from a bone biopsy of the left leg has pain unrelieved by morphine 5 mg intramuscularly given 1.5 hours ago. The morphine is prescribed for every 3 hours. What should the nurse do?
a. Elevate the extremity.
b. Repeat morphine now.
c. Notify the charge nurse.
d. Administer morphine in 30 minutes.
ANS: C
The nurse should notify the charge nurse because the patient needs pain relief and cannot wait 2 hours. An assessment should be done to determine the cause of the pain as increased pain that is unresponsive to analgesic medication may indicate bleeding in the soft tissue. A. Elevating the extremity might help however the patient needs additional pain medication. B. C. The nurse cannot provide the pain medication now or in 30 minutes because the order is written for the medication to be provided every 3 hours.
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