500
6. The nurse is planning care for a client who had surgery for abdominal
aortic aneurysm repair two days ago. The pain medication and the use of
relaxation and imagery techniques are not relieving the client's pain
and the client refuses to get out of bed to ambulate as ordered. The
nurse contacts the physician, explains the situation, and provides
information about drug dose, frequency of administration, the client's
vital signs, and the client's score on the pain scale. The nurse
requests an order for a different, or stronger, pain medication. The
physician tells the nurse that the current order for pain medication is
sufficient for this client and that the client will feel better in
several days. The nurse should *next*:
a) Report the incident to the team leader.
b) Wait until the next shift and ask the nurse on that shift to contact
the physician.
c) Ask the hospitalist to write an order for a stronger pain medication.
d) Explain to the physician that the current pain medication and other
strategies are not helping the client and it is making it difficult for
the client to ambulate as ordered.
What is d?