Which response by the client indicates that medication instruction by the RN has been effective?

“Have you had thoughts about killing yourself?” This is the best response because it directly assesses the client’s suicidal risk and shows empathy and concern.

The other choices are wrong because:

Choice B. “What can’t you go on anymore?” This is a vague and open-ended question that does not address the client’s immediate safety or emotional state.

Choice C. “Don’t think like that.

It’s not true!” This is a dismissive and invalidating response that does not acknowledge the client’s feelings or offer support.

Choice D. “Have you talked to your doctor about these feelings?” This is a deferring and avoiding response that does not explore the client’s situation or provide any intervention.

On a regular schedule around the clock. This is because when pain is present for more than 12 hours a day, analgesic dosages are best administered around the clock rather than on an as-needed basis.

Choice A is wrong because waiting for the client to exhibit physiologic symptoms of pain may delay the administration of analgesics and cause unnecessary suffering. Physiologic symptoms of pain are not always reliable indicators of pain intensity or quality.

Choice B is wrong because administering analgesics prior to painful activities may not provide adequate pain relief throughout the day. Painful activities may vary depending on the client’s condition and preferences.

Choice D is wrong because relying on the client’s request may not ensure optimal pain management. Some clients may be reluctant to ask for analgesics due to fear of addiction, side effects, or being perceived as weak.