The nurse formulates the nursing diagnosis: Acute pain, related to tissue damage, secondary to infarction, manifested by pallor, client report, and shallow, rapid breathing for a client experiencing an acute myocardial infarction
Which collaborative action would be appropriate for this client?
1. Provide a calm, quiet atmosphere in the client's room.
2. Administer pain medication.
3. Educate the client and family regarding treatment and therapies.
4. Monitor for changes in the client's condition.
Correct Answer: 2
Rationale 1: This option is not collaborative but rather nurse mediated, which the nurse can implement independently.
Rationale 2: Collaboration occurs between the nurse, physician, and other health care professionals to treat the client's problem. In this case, the physician prescribes medications, and the nurse administers them—a primarily dependent action that requires physician orders.
Rationale 3: This option is not collaborative but rather nurse mediated, which the nurse can implement independently.
Rationale 4: This option is not collaborative but rather nurse mediated, which the nurse can implement independently.
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