- Daniel Watkins Is A 53 Year Old Man Who Was Admitted To The Hospital Because Of Severe Abdominal Pain A Bowel Resection 1 (175.9 KiB) Viewed 102 times
Daniel Watkins is a 53-year-old man who was admitted to the hospital because of severe abdominal pain. A bowel resection was done to relieve an obstruction. By his fourth postoperative day, he is ambulating and tolerating oral intake. He has been taking both injections and oral medication for pain. The following medications are currently ordered: • Morphine, 2 to 4 mg IV every 4 hours PRN for pain Acetaminophen with oxycodone (Percocet), 1 or 2 capsules PO every 4 hours PRN for pain • Acetaminophen (Tylenol), 650 mg PO every 4 hours PRN for headache and fever Mr. Watkins is complaining of severe pain around his incision following a dressing change and removal of surgical drains. He is very anxious and upset. He is requesting pain medication. He had his last dose of morphine was 6 hours ago. He took 1 capsule of Percocet 3 hours ago for mild pain after ambulating. 1. What assessment data does the nurse need to decide how to intervene at this time? 2. The nurse decides to administer morphine 2 mg IV. What assessment should be done to monitor for adverse effects of the morphine? 3. What should the nurse document in the client's medical record about the pain management? 4. Mr. Watkins complains that the drugs do not always help when he has severe pain. What is the nurse's appropriate action for this situation? 5. What measures can the nurse teach Mr. Watkins to promote more effective pain management? 6. When Mr. Watkins complains of a headache, what medication would be most appropriate for the nurse to administer and why?