The nurse recognizes which of the following client outcomes as being a

The nurse recognizes which of the following client outcomes as being a result of ineffective pain management? (Select all that apply.)

1. Client expressing feelings of despair and hopelessness
2. Inability to self-ambulate distance from bed to bathroom
3. Stage 1 pressure ulcer development on coccyx and left hip
4. Client rating pain as 4 on a scale of 0 to 10 30 minutes after pain medication
5. Postponement of discharge because of the inability to perform activities of daily living
6. Postponement of physical therapy because of client’s inability to tolerate knee flexion

ANSWER

ANS: 1, 2, 3, 5, 6
Acute pain seriously threatens a client’s recovery by resulting in prolonged hospitalization, in-creased risks of complications from immobility, and delayed rehabilitation. Physical or psycho-logical progress is delayed as long as acute pain persists because the client focuses all energy on pain relief. A pain rating of 4 reflects tolerable pain, which may be a realistic expectation in some cases of chronic pain.