Certified Medical-Surgical Registered Nurse Practice Exam

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If a patient states they are still experiencing pain after medication, what is the first action a nurse should take?

Tell the patient that he must wait 4 hours for more pain medication

Give half of the ordered as-needed dose

Document the patient's pain

Notify the practitioner that the patient is still experiencing pain

In a situation where a patient reports ongoing pain despite medication administration, notifying the practitioner is the most appropriate first action. This is crucial because the practitioner needs to be aware of the patient's response to the current pain management plan. Continuous pain may indicate that the current medication regimen is inadequate and may require adjustments in dosage, a change in the type of medication, or additional interventions.

Addressing unrelieved pain promptly is essential for preventing further complications and ensuring the patient's comfort and safety. It reflects an understanding of the importance of effective pain management in patient care, which is vital for recovery and overall well-being.

Other options may involve actions that could delay necessary interventions or fail to appropriately address the patient's immediate needs. For instance, simply telling the patient to wait for more medication does not address their ongoing discomfort or contribute to adjusting their treatment plan promptly. Providing half the dose may not be in line with medical protocols and could potentially compromise the effectiveness of pain relief. Documenting the patient's pain is necessary for the medical record but should not take precedence over immediate care responses.

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