A client returns to the unit following abdominal surgery. The client has an order for Demerol IM PRN for severe pain or Tylenol #3 PO PRN for mild to moderate pain
The nurse asks the client whether she is experiencing pain now, and the client says, "Yes, I am." Which of these actions should the nurse take next? a. Administer Demerol, since the client is less than 24 hours postoperative.
b. Administer Tylenol #3, and if pain is not relieved, administer Demerol.
c. Assess the client further as to the location and degree of pain.
d. Reposition the client, and suggest performing some relaxation exercises.
C
A nurse should obtain subjective data about the client's pain, including the client's own description of the pain; its location (where pain occurs); onset and duration (when pain began, how long it has existed, and any pain patterns); quality (what the pain feels like); intensity (how severe the pain is); aggravating and alleviating factors (things that increase or decrease the pain); factors accompanying the pain (impact on daily activities such as sleep and nutrition); and the meaning of pain to the client.
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