After reviewing the admission assessment of a client with chronic pain, which intervention(s) should the nurse include in this client's plan of care (POC)? Select all that apply.

Choice A reason: Ambulating as much as possible may not be appropriate for all clients with chronic pain. While mobility is encouraged, forcing ambulation without considering pain severity, physical limitations, or safety concerns could worsen discomfort and reduce adherence to the care plan. Choice B reason: Assessing pain using a numerical scale is essential in chronic pain management. Pain is a subjective experience, and standardized tools allow for consistent evaluation, monitoring, and adjustment of interventions. This ensures individualized care and accurate documentation of the client’s pain experience. Choice C reason: Encouraging increased fluid intake and measuring urinary output is not directly related to chronic pain management. Unless the client has a comorbidity such as renal disease or is on medications requiring fluid monitoring, this intervention does not address the primary issue of pain control. Choice D reason: Comfort measures such as warm applications and massage are evidence-based nonpharmacological interventions for chronic pain. They promote relaxation, improve circulation, and reduce muscle tension, complementing pharmacological therapy. Choice E reason: Implementing a routine schedule of analgesic administration is critical in chronic pain management. Scheduled dosing maintains consistent plasma drug levels, prevents breakthrough pain, and improves overall quality of life. Waiting until pain becomes severe before administering medication leads to poor control and increased suffering.