When a client is admitted with intractable pain, what action should the nurse implement?

• A. Increase activity to distract from pain
• B. Elevate room temperature
• C. Take measures to promote as much comfort as possible
• D. Withhold analgesics to assess baseline pain

Answer: (C)

Relieving pain and keeping the patient as comfortable as possible is the most important objective when a client presents with intractable pain. The nurse should implement measures that promote maximum comfort, which includes promptly delivering prescribed analgesics and combining them with nonpharmacologic comfort strategies such as optimal positioning, a calm environment, distraction or relaxation techniques, adequate hydration, and other comfort measures tailored to the patient. Regular reassessment is essential to adjust the treatment plan and maintain pain relief, while watching for side effects and safety concerns.

Increasing activity to distract from pain is not appropriate during severe pain, as it can worsen discomfort or cause injury. Merely changing room conditions like temperature isn’t a primary pain-relief strategy for most patients, though environmental comfort can support overall relief. Withholding analgesics to establish a baseline pain is inappropriate when pain is present; treating pain promptly is essential for comfort and recovery.