A client is requesting medicine for pain 30 minutes after receiving morphine sulfate 5 mg intravenously. Which intervention should the nurse implement next?

Ask the UAP to offer a backrub to the client.

Reassess the client and the level of pain.

Tell the client the medication needs more time to work.

Encourage the client to focus on taking deep breaths.

Answer and Explanation

The Correct Answer is B

A. Asking a UAP to offer a backrub is not appropriate if the pain assessment indicates that the current pain management strategy is insufficient. The nurse needs to reassess the pain to determine the effectiveness of the medication and whether additional interventions are needed.
B. Reassessing the client and the level of pain is essential to evaluate the effectiveness of the morphine sulfate administered and to guide further pain management decisions. This step is crucial for understanding the client's current pain status and determining the next steps in pain management.
C. Telling the client that the medication needs more time to work does not address the client's immediate concern or pain relief. Reassessing pain and potentially adjusting the treatment plan is more appropriate.
D. Encouraging deep breathing may help with pain management but does not address the need for further assessment of the pain level or potential adjustment in medication. Reassessing pain is the priority.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Applying a lubricating lotion helps to combat dryness and maintain skin moisture, which is particularly beneficial as skin turgor decreases with age. This is a direct way to address common skin issues in older adults.
B. Padding bony prominences helps to prevent pressure ulcers but does not address the issue of decreased skin turgor directly.
C. Encouraging a high-protein diet is beneficial for overall skin health and repair but is not specifically aimed at addressing the immediate changes in skin turgor due to aging.
D. Bathing with mild soap is gentle on the skin but does not specifically address the loss of skin turgor. Using a lotion or moisturizer directly addresses the dryness and potential discomfort associated with aging skin.

A. Recommend asking the healthcare professional for a patient-controlled analgesia (PCA) pump. B. Explain the respiratory problems that can occur with morphine use. C. Teach family how to evaluate the effectiveness of analgesics. D. Provide client with a schedule of around-the-clock prescribed analgesic use.

Correct Answer is D

Explanation

A. A PCA pump could be considered, but the immediate action should be ensuring the client understands and follows the prescribed pain management regimen.
B. While explaining potential side effects like respiratory depression is important, this action may increase anxiety about pain management rather than address the client's current concern.
C. Teaching the family how to evaluate the effectiveness of analgesics is important but secondary to ensuring the client is consistently receiving pain relief.
D. Providing the client with a schedule of around-the-clock prescribed analgesic use is crucial in managing pain effectively in hospice care. Consistent pain management, rather than waiting for pain to become severe, is a key principle in palliative care to ensure comfort.

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A client is requesting medicine for pain 30 minutes after receiving morphine sulfate 5 mg intravenously. Which intervention should the nurse implement next?

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