The nurse is planning care for a school-age client who is postoperative for the surgical removal of the appendix. In addition to pharmacologic pain management, which should the nurse include in the plan of care to address pain?

1. Applying a warm, moist pack every 4 hours
2. Applying EMLA cream to the incision site prior to ambulation
3. Applying a cold, moist pack every 2 hours
4. Applying a pillow against the abdomen to splint the incision site when coughing


4
Explanation:
1. Heat and moisture are not used on the incision area, as they can impair the healing process of the wound.
2. EMLA cream is a medication that requires a prescription.
3. Heat and ice are not used on the incision area, as they can impair the healing process of the wound.
4. A splint pillow placed on the abdomen is a nonpharmacologic strategy to decrease discomfort after an appendectomy.

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