The home health nurse is visiting a client who is 2 weeks postoperative from abdominal surgery. The nurse assesses the client and finds that the client has lost 10 pounds, is continuing to experience pain, and is not eating
The nurse's next action is to: 1. Revise the goals in the plan of care.
2. Contact meals on wheels.
3. Refer the client to social services.
4. Examine the interventions for pain relief.
4. Examine the interventions for pain relief.
Rationale:
The nurse evaluates that pain goals have not been met and examines pain relief interventions to determine the problem. The goal of pain management is pain relief and that goal would not change; what might change is the interventions to meet the goal. Contacting meals on wheels may not be appropriate if the problem is pain relief. Pain relief is a medical issue that is addressed by the nurse and physician, not social services.
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