A patient who has biliary colic reports a pain level of 8 on a 1 to 10 pain scale with 10 being the most severe pain. The patient has an order for ibuprofen as needed for pain. Which action by the nurse is correct?
a. Administer the ibuprofen as ordered.
b. Contact the provider to discuss nonphar-macologic pain measures.
c. Request an order for meperidine [Deme-rol].
d. Request an order for morphine sulfate.
C
Opioids can induce spasm of the common bile duct and can cause biliary colic. For patients with existing biliary colic, morphine may intensify the pain. It is important to treat pain, however, and certain opioids, such as meperidine, which cause less smooth muscle spasm, may be given. Ibu-profen is used for mild to moderate pain and is not appropriate for this patient. Nonpharmaco-logic methods are appropriate when used as adjunctive therapy with an opioid.
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