The nurse is preparing to interview the hospitalized client. Which of the following statements by the client's nurse indicates that the interview should be postponed? Standard Text: Select all that apply

Question

1. "I can't seem to get her pain under control this morning."
2. "I just gave her morphine sulfate through her IV for pain about 20 minutes ago."
3. "She was anxious earlier and received some lorazepam."
4. "She's been oriented to ‘self' only since admission."
5. "I gave her some ibuprofen about 1 hour ago."

Answer 1

1,2,3,4
Rationale 1: "I can't seem to get her pain under control this morning." The nurse should postpone the interview if the client is in pain.
Rationale 2: "I just gave her morphine sulfate through her IV for pain about 20 minutes ago." The interview should be postponed if the client received opioid pain medications because it may alter the ability for the client to adequately answer the nurse's questions.
Rationale 3: "She was anxious earlier and received some lorazepam." The nurse should postpone the interview if the client was given lorazepam because it can sedate the client.
Rationale 4: "She's been oriented to ‘self' only since admission." The nurse should postpone the interview if the client is confused.
Rationale 5: "I gave her some ibuprofen about 1 hour ago." Ibuprofen will not impact the client's ability to answer questions adequately, so the interview does not need to be postponed.