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.

A. Assist the client to ambulate as much as possible during waking hours: Ambulation promotes circulation, reduces stiffness, and helps maintain musculoskeletal function, which can alleviate chronic pain. Encouraging safe, gradual mobility is an evidence-based nonpharmacologic intervention that complements analgesic therapy. B. Implement a 24 hour schedule of routine administration of prescribed analgesic: Chronic pain is best managed with around-the-clock analgesics rather than PRN dosing alone to maintain consistent pain control and prevent breakthrough pain. Routine administration ensures steady plasma levels and improves functional outcomes for the client. C. Encourage increased fluid intake and measure urinary output every 8 hours: While hydration is generally important, there is no direct link between increased fluid intake and chronic pain management unless specific conditions such as renal impairment or medication side effects warrant it. Routine monitoring of urinary output is not a standard intervention for chronic pain and is not a priority in this context. D. Determine client's subjective measure of pain using a numerical pain scale: Assessing pain intensity using a validated scale allows the nurse to quantify the client’s experience, evaluate the effectiveness of interventions, and individualize the pain management plan. Regular assessment is a cornerstone of safe and effective chronic pain care. E. Provide comfort measures such as topical warm application and tactile massage: Nonpharmacologic interventions like heat therapy and massage can reduce muscle tension, improve circulation, and provide temporary pain relief. Integrating these strategies supports holistic pain management and enhances the client’s overall comfort and quality of life.