A Client Who Had a Myocardial Infarction Yesterday Has Pain

question 12

Multiple Choice

A client who had a myocardial infarction yesterday has pain medication ordered PRN for discomfort or agitation.The evening nurse's initial assessment indicates the client has not received any pain medications all day.Vital signs are within normal limits,but the client is sweating profusely.Smiling,the client informs the nurse that he has been experiencing some pain since early morning.Which of these actions should the nurse take?

• A)Administer the largest dose of pain medication allowed,since the client has not received it all day.
• B)Administer the minimum dose of pain medication,and reassess the client's level of pain 30 minutes after administration and again at the minimal time interval for repeat dosing.
• C)Continue to withhold the ordered pain medication because vital signs are within normal limits and the client is smiling.
• D)Encourage the client to continue to do without ordered pain medication to avoid addiction.

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