An Older Adult Client Has a History of Osteoarthritis

An older adult client has a history of osteoarthritis. The nurse cares for the client in the postoperative period after a below-the-knee amputation for complications of peripheral vascular disease. Which finding most concerns the nurse?

A) The client has a history of depression and anxiety, treated with a selective serotonin reuptake inhibitor.
B) The client takes acetaminophen (Tylenol) instead of prescribed pain medication as needed for osteoarthritis.
C) The client's spouse visits the hospital occasionally, usually to assist with the morning meal and bathing.
D) The client is irritable, reports moderate generalized pain, and states that he cannot "put a number on it."