NCLEX-PN® ExaminationCoordinated CareMedium
An LPN is assisting with the admission of a client who has a history of opioid use disorder and is requesting pain medication for a chronic back condition. The LPN's most appropriate action regarding the client's request is to:
- ADocument the client's request and notify the registered nurse (RN) for further assessment.
- BEducate the client about the risks of opioid use due to their history.
- CInform the client that their history of opioid use disorder prevents immediate pain medication administration.
- DAdminister the pain medication as prescribed by the healthcare provider.
Show answer & explanationAnswer & explanation
Correct answer: A. Document the client's request and notify the registered nurse (RN) for further assessment.
When a client with a history of opioid use disorder requests pain medication, it requires careful assessment by an RN to differentiate between legitimate pain and potential drug-seeking behavior, while also ensuring the client's pain is adequately managed. The LPN's role is to document the request and escalate to the RN for comprehensive evaluation and decision-making.
Why the other options are wrong
- B. While education is important, it should not be the initial response to an acute pain medication request and may not be appropriate without a full assessment.
- C. This response is dismissive and does not advocate for the client's right to pain management, nor does it allow for proper assessment.
- D. Administering medication without RN assessment in this scenario could be inappropriate and potentially harmful given the client's history.
Collaboration with Interdisciplinary Team
Working effectively with other healthcare professionals to provide comprehensive and coordinated client care.
- Involves clear communication and mutual respect.
- Ensures holistic client management.
- Leverages diverse expertise for optimal outcomes.
Memory trick: Team Collaboration for Complex Pain