Question

A client is prescribed pain medication every 4 to 6 hours as needed. When the nurse enters the client's room to administer the medication, the client is laughing with visitors. The client's pulse rate is 64, respirations 16, and blood pressure 120/80. The client reports pain and wants the medication. What is the most appropriate action by the nurse?

A. Hold the pain medication at this time.
B. Encourage the client to use alternative pain relief measures.
C. Reassess the need for pain medication in 30 minutes.
D. Administer the pain medication.

Answer 1

The nurse should administer the pain medication as pain is subjective and the client's vital signs are stable, indicating no contraindications.

Step-by-step explanation:

If a client is prescribed pain medication every 4 to 6 hours as needed and requests it, even while appearing to be in good spirits and showing vital signs within normal ranges, the nurse's most appropriate action would be to administer the pain medication. Pain is a subjective experience and cannot be accurately assessed solely on the appearance or vital signs of the patient. It is essential to trust the client's report of pain and administer the prescribed medication as directed unless there are clear contraindications or reasons to believe the medication could harm the client.