Based on the nurse's assessment, which data supports administering pain medication as the first intervention?

• A. Blood pressure 132/76 mmHg.
• B. Pain rating of 6/10.
• C. Heart rate 102 beats per minute.
• D. Temperature 100.5 F.

Answer: (B)

The key idea is that the patient’s own report of pain intensity guides whether to administer analgesia. Pain is subjective, and the self-reported pain score is the most direct and reliable indicator for treatment. A pain rating of 6 out of 10 reflects moderate pain that commonly warrants analgesic relief to improve comfort and function, making it the strongest cue to act first.

Vital signs can change with pain but aren’t specific enough to stand alone as the basis for analgesia. A normal blood pressure, a mildly elevated heart rate, or a low-grade fever can result from many factors other than pain, so they don’t justify rushing pain medication as the primary intervention. If the patient reports moderate pain, providing appropriate analgesia and then reassessing ensures relief while still considering safety and other clinical factors.