The nursing student is discussing an assigned client's pain responses with the nursing instructor. The student reports feeling amazed about how the client has continued to avoid taking any analgesics only hours after surgery
What response by the nursing instructor is indicated? 1. "Sometimes clients just don't need any analgesics."
2. "Have you seen any nonverbal cues that might indicate the client is experiencing pain?"
3. "We will need to contact the healthcare provider to report the client's continued refusal of analgesics."
4. "Do the client's vital signs indicate the client is experiencing pain?"
2
Rationale 1: "Sometimes clients just don't need any analgesics." A variety of factors will influence a client's perception of pain and willingness to receive analgesics.
Rationale 2: "Have you seen any nonverbal cues that might indicate the client is experiencing pain?" The nurse will need to promote a comprehensive assessment of the client's pain experience. Nonverbal behaviors will need to be considered. Some clients may be stoic with the pain experience.
Rationale 3: "We will need to contact the healthcare provider to report the client's continued refusal of analgesics." There is no need to contact the healthcare provider at this time.
Rationale 4: "Do the client's vital signs indicate the client is experiencing pain?" The client's vital signs should be considered in the assessment of pain but they are not the priority consideration
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