The nurse has identified the diagnosis Acute Pain for a patient recovering from an above-the-knee amputation
Which nursing interventions would be beneficial for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Administer analgesics before pain reaches a higher level.
2. Support the injured area when moving the patient.
3. Elevate the stump on three pillows.
4. Encourage deep breathing and relaxation exercise.
5. Reposition the patient every 8 hours.
1,2,4
Rationale 1: Analgesics alleviate pain by stimulating opiate receptor sites. If pain medication is given when pain is rated at a lower level, the pain will be managed more effectively.
Rationale 2: Supporting the injured area reduces pain when the patient is moving.
Rationale 3: Elevating the stump can increase the risk of hip contractures.
Rationale 4: Encouraging deep breathing and relaxation will increase the effectiveness of analgesics and modify the pain.
Rationale 5: The patient should be repositioned every 2 hours to prevent muscle cramping and prolonged pressure on any area.
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