An older aphasic client has severe osteoarthritis, bilateral contractures of the lower extremities, and a stage IV pressure ulcer
The nurse practitioner prescribes analgesic medications to be administered around-the-clock, with as-needed doses to be administered as appropriate. What observation by the nurse would indicate that the pain regimen is effective? (Select all that apply.)
a. "Client slept throughout the night."
b. "Client winces only when turned and re-positioned."
c. "Client slept during dressing change."
d. "Client cooperative during morning care."
e. "Client ate 80% of breakfast, 70% of lunch, and 100% of dinner."
ANS: A, C, D, E
A pain cue presented by this client is the wincing when being turned, indicating that this inter-vention is producing pain. The remaining observations are concurrent with effective pain man-agement.
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