The postpartum client delivered four hours ago. She has a mediolateral episiotomy and large hemorrhoids. She is rating her pain at 7 on a scale of 1–10. She has a history of anaphylactic reaction to Tylenol (acetaminophen)
Which nursing action would be best? 1. Offer the client 800 mg Advil (ibuprofen) orally with food.
2. Provide two Percocet (oxycodone with acetaminophen) by mouth.
3. Encourage use of Dermoplast topical anesthetic spray.
4. Run very warm water into the tub and assist her into the bath.
1
Rationale:
1. This is the best option, because the client is experiencing moderately severe pain with inflammation. Ibuprofen is a non-steroidal anti-inflammatory drug that both reduces inflammation and provides pain relief.
2. This medication is contraindicated because of the client's allergic reaction to acetaminophen.
3. Topical anesthetic sprays can be a helpful adjunct in pain relief, but are not sufficient when a client has moderately severe pain.
4. Ice packs would be better at this stage, because they will cause vasoconstriction to reduce edema and pain relief.
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