The postpartum client, who delivered 4 hours ago, has a mediolateral episiotomy and large hemorrhoids. The client currently rates her pain at 7 on a scale of 1 to 10. She has a history of anaphylactic reaction to acetaminophen (Tylenol). Which nursing action is most appropriate?
1. Offering 800 mg ibuprofen (Advil) orally with food
2. Providing two oxycodone with acetaminophen tablets (Percocet) by mouth
3. Encouraging use of the prescribed topical anesthetic spray
4. Running very warm water into the tub and assisting her into the bath
1
Explanation:
1. This is the best option because the client is experiencing moderately severe pain with inflammation. Ibuprofen is a nonsteroidal anti-inflammatory drug that both reduces inflammation and provides pain relief.
2. This medication is contraindicated because of the client's allergic reaction to acetaminophen.
3. Topical anesthetic sprays can be a helpful adjunct in pain relief, but are not sufficient when a client has moderately severe pain.
4. Ice packs would be better at this stage because they will cause vasoconstriction to reduce edema and pain relief.
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