Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13th Edition by Kerry Cheever, Janice Hinkle

Exercise 2

A 48-year-old man is admitted to the medical unit with renal calculi. He passed twocalculi in the ED and was given 75 mcg of IV fentanyl and 1,000 mg of IVacetaminophen for analgesia. His comfort-function goal is 2 on the 0 to 10 numericalrating scale.He reports a pain intensity rating of 1 related to the acute pain;however, he describes a history of neck pain since an automobile accident 5 yearsago.He rates the neck pain as 6 and describes it as continuous and burning.Hisprescribed analgesic agents include acetaminophen 1,000 mg IV every 6 hours andmorphine 3 mg IV every hour PRN. Explain the deficiencies in this patient's analgesicagent prescriptions and what could be done to address his pain in a morecomprehensive manner. What nonpharmacologic methods might be helpful?