A client has multiple fractures following a motor vehicle accident. One of the client outcomes of the nurse's plan of care includes reducing the perception of pain
Which of the following nursing interventions would apply to reaching this outcome? Standard Text: Select all that apply. 1. Offering a selection of musical CDs
2. Assisting with guided imagery
3. Administering Demerol (Meperidine) intravenously
4. Providing instruction on deep breathing techniques
5. Administering an anti-inflammatory medication
1,2,4
Rationale 1: Offering a selection of musical CDs. The use of music is a means to assist the client to shift the focus from the pain to something else. This will help in reducing the perception of pain.
Rationale 2: Assisting with guided imagery. Guided imagery allows the client to focus on a calmer, more positive place or sensation. This allows the focus to divert from the pain. This is a means to reduce the perception of pain.
Rationale 3: Administering Demerol (Meperidine) intravenously. The administration of narcotic analgesics does not work to diminish the perception. These medications work to reduce the transmission of the pain to the client's nerve sensors.
Rationale 4: Providing instruction on deep breathing techniques. The use of therapeutic techniques will reduce the client's sensation of pain being experienced.
Rationale 5: Administering an anti-inflammatory medication. The medication will reduce discomfort by reducing the inflammation. This method does not reduce the perception of the pain. The medications reduce inflammation, thus reducing the incidence of pain, not the perception of it.
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