The medication administration record (MAR) might list more than one analgesic order for the same client. This requires the nurse to:
ExplanationThe nurse must use clinical judgment and should confer with the client in deciding which medication is most appropriate when there is an option. Judgment is based on client assessment and the physician’s orders. The physician must be called if clarification is needed. The client should be asked which medication provided better or longer relief, but client preference might not be an option due to time limits or physician orders. The physician might order alternating medications. Otherwise, client assessment and nursing judgment dictate drug selection.