The nurse is performing the AM assessment on a client who is postoperative cholecystectomy. The client states he needs his pain medication. The client has meperidine (Demerol) 50 mg IM ordered for pain
What must the nurse assess before administering a narcotic?
1. The intensity of the pain only
2. The last time the client had a bowel movement
3. The quality, intensity, location, and duration of pain
4. The quality of the pain only
Correct Answer: 3
Rationale 1: The nurse needs to assess the quality, intensity, location, and duration of pain.
Rationale 2: The nurse must assess the quality, intensity, location and duration of pain. Meperidine can cause constipation, but that can be assessed at any time.
Rationale 3: The quality, intensity, location, and duration of pain need to be assessed prior to administering meperidine.
Rationale 4: The nurse needs to assess the quality, intensity, location, and duration of pain.
Global Rationale: The quality, intensity, location, and duration of pain needs to be assessed prior to administering meperidine. The last time the client had a bowel movement is not a required assessment prior to administering meperidine.
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