The nurse is developing a plan of care for a client with a language barrier that is recovering from surgery and has not requested any pain medication. Which of the following interventions should the nurse include in the care plan?
1. Assess the client for non-verbal signs of pain and medicate the client if signs are noted.
2. Become familiar with the client's culture and how the culture typically demonstrates signs of pain.
3. Obtain a prescription for the client to have a patient-controlled analgesic pump so the client can be in control of their own pain management.
4. Utilize an interpreter to explain the faces pain scale for assessing and evaluating the client's pain level now and throughout the hospitalization.
4. Utilize an interpreter to explain the faces pain scale for assessing and evaluating the client's pain level now and throughout the hospitalization.
Explanation: 1. Loss of trust occurs when there are missed cues with the client. It may not be culturally acceptable for a client that is in pain to show any indication of it.
2. The nurse should become familiar with the client's culture; however, this does not address how to appropriately assess the client's pain level, and the nurse should not assume the client has pain.
3. This would not help implement culturally competent care and does not help the nurse accurately assess the client's pain level.
4. Using an interpreter to accurately assess the client for pain and explain the use of the faces pain scale to assess the client's pain level in the future would be culturally appropriate.
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