What is the best action to perform first from the six actions identified as part of planned client care for this client? Administer 2mg Morphine IV now for breakthrough pain

NUR 4153-Deliverable 4-Make the Best Choice for the Right Situation

The six nursing interventions I believe to be appropriate and should be completed in this order within the next one hour:

Administer 2mg Morphine IV now for breakthrough pain

Call the physician to get an order for a Nicotine Patch, and report decreased urinary output with amber urine

Input consult for pain management into the electronic order system

Apply anti-embolism stockings bilaterally

Administer tetanus immunization

Decrease O2 to 2L Nasal Cannula and continue Sp02 monitoring

What is the best action to perform first from the six actions identified as part of planned client care for this client?

Administer 2mg Morphine IV now for breakthrough pain

Notice: The patient is stating his pain is 8/10. The patient just went through a traumatic accident and is status post-surgery.

Interpret: The patient is in pain at this time, which is considered a breakthrough.

Pain is subjective.

Reflect: Once his pain is under control, pain management can be evaluated, the PCA pump can be discontinued, and oxygen needs may decrease due to a decrease in pain and an increase in relaxation and focus on breathing techniques (Walid, 2008).