Use the case study information provided to answer this question.
You are sitting down with the RN to write the client’s plan of care. You should suggest which goal as a primary concern for the client based on her vital signs and assessment?
Intro to case:
You are assigned to float to the orthopedic surgical floor as an LPN. One of your clients is a 48-year-old female who was admitted to the floor yesterday after a motor vehicle accident (MVA) in which she fractured her pelvis and right femur. She had emergency surgery last night and her anesthesia has worn off.
Nurse’s Notes
0730: Client is in bed fidgeting and constantly trying to change positions stating, “no matter what position I’m in, everything hurts.” Client is restless and diaphoretic. She states her pain level is “10” on the 1-10 numerical pain scale. Client’s last IV Dilaudid was given at 0630.
0800: Consulted with the RN regarding the client’s pain and vital signs. RN called the doctor to request additional pain medicine. The doctor wrote a new order for a patient-controlled analgesia (PCA) pump containing Morphine for client. Will set up intravenous PCA pump with RN present in room and educate client on use.
History and Physical
Vital Signs
The client will maintain a high-protein diet and eat small, frequent meals.
The client will get out of bed to the chair three times daily.
The client will maintain a pain score at or below 5.
The client will maintain a pain score of 1 while on PCA pump.
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