A nurse is reviewing the chart of a postoperative client who has been prescribed ketorolac for pain management. Which of the following findings would require the nurse to question the continued use of ketorolac?
Explanation & Rationale
A. Mild nausea is a common side effect of ketorolac and other NSAIDs. While it should be monitored, it does not automatically require discontinuation unless it becomes severe or persistent, or is accompanied by signs of gastrointestinal bleeding. B. Ketorolac is intended for short-term use only, with a maximum duration of 5 days due to the risk of serious adverse effects. Extended use beyond 5 days increases the risk of gastrointestinal bleeding, renal impairment, and platelet dysfunction, which can be especially dangerous in postoperative clients. The nurse should question the continued use and notify the healthcare provider. C. Mild edema may occur with NSAID use due to fluid retention but is not an immediate reason to discontinue ketorolac unless it worsens or is associated with other complications such as heart failure or kidney dysfunction. D. A decrease in pain level indicates that the medication is effective, which supports its therapeutic use rather than questioning it.