The client scheduled to undergo a minor surgery states, The ...

[K@]

The client scheduled to undergo a minor surgery states, The physician will not give me pain medication after surgery because my surgery is only minor. The best response by the nurse is:
 
  1. You can experience pain after minor surgery, so you can have pain medication.
  2. You are correct. The physician will not order any pain medication.
  3. You are correct. I will need to teach you nonpharmacologic pain relief measures.
  4.  You can only have about half the dose since your surgery is minor.

Question 2

The nurse is caring for a client who is using morphine through patient controlled analgesia. What medication should the nurse have readily available?
 
  1. Naloxone hydrochloride (Narcan)
  2. Acetaminophen (Tylenol)
  3. Diphenhydramine hydrochloride (Benadryl)
  4. Normal saline

[tmlewis4706]

Answer to Question 1

Correct Answer: 1
Rationale 1: Clients can experience intense pain after minor surgery, so pain medication may be ordered.
Rationale 2: This is not true. The client can have pain after minor surgery and can receive pain medication.
Rationale 3: Nonpharmacologic pain relief measures may not be enough for the pain after surgery.
Rationale 4: The nurse has no way of knowing the dose the physician will prescribe for the client.

Answer to Question 2

Correct Answer: 1
Rationale 1: Narcan is an opioid antagonist and should be readily available when a client is receiving an opioid.
Rationale 2: Tylenol would not be helpful to have available for a client who is receiving morphine through PCA administration.
Rationale 3: Benadryl would not be helpful to have available for a client who is receiving morphine through PCA administration.
Rationale 4: Normal saline would not be helpful to have available for a client who is receiving morphine through PCA administration.