After assessing the patient and identifying the need for headache relief,the nurse administers acetaminophen (Tylenol)for the patient's headache.What is the nurse's next priority action for this patient?
A)Eliminate Acute pain from the nursing care plan.
B)Direct the unregulated care provider to ask if the patient's headache is relieved.
C)Reassess the patient's pain level in 30 minutes.
D)Revise the plan of care.

Question

Quizplus · Accepted Answer

The nurse's next priority action for this patient is to evaluate whether the nursing intervention of administering acetaminophen was effective.The nurse does not have enough evaluative data at this point to determine whether the nursing diagnosis of Acute pain needs to be deleted.Assessment is the nurse's responsibility and is not to be delegated to an unregulated care provider.The nurse does not have enough evaluative data to determine whether the patient's plan of care needs to be revised.

After Assessing the Patient and Identifying the Need for Headache