The physician has ordered a narcotic for the relief of severe pain for an older client. Which nursing diagnosis should the nurse add to this client's plan of care?
1. Activity intolerance
2. Risk for injury
3. Risk for bleeding
4. Ineffective coping
Answer: 2
1. Activity intolerance is used for clients who do not have the stamina to carry out daily tasks.
2. Narcotics can potentiate confusion and unsteadiness in the older client. The nurse should add risk for injury and implement interventions aimed at preventing injury to the client.
3. Risk for bleeding is used for clients who are receiving anticoagulants.
4. Ineffective coping is more appropriate for the client or family who is unable to handle a particular situation.
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