A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia care unit (PACU). Before selecting which medication to administer, which action should the nurse implement?

Choice A reason: Comparing the client’s pain scale rating with the prescribed dosing ensures that the nurse selects the most appropriate medication based on the severity of pain. This aligns with safe medication administration practices and supports individualized pain management. Choice B reason: While onset of action is important, it should be considered after matching the pain level to the appropriate medication. Quick relief is valuable, but not at the expense of dosing accuracy. Choice C reason: Documentation is essential but should follow clinical decision-making and administration. It is not the first action when choosing between medications. Choice D reason: Asking the client to choose the medication is inappropriate. Clients may not understand pharmacologic differences, and the nurse must use clinical judgment to select the safest and most effective option.