After administering filgrastim to a client with neutropenia, the client complains of bone pain. What should the practical nurse (PN) do first?

In the scenario where a client experiences bone pain after receiving filgrastim, the priority is to address the client's pain effectively. Administering a prescribed PRN (as needed) analgesic is the first action that should be taken. Pain management is a critical aspect of nursing care, as it directly impacts the client's comfort and quality of life.

When a client reports pain, particularly after a medication known to cause bone pain such as filgrastim, it's important to relieve the discomfort promptly. Analgesics are intended to mitigate such pain, and timely administration can greatly improve the client's experience of care.

While documenting the client's complaint, performing a physical assessment, and informing the healthcare provider are also essential components of nursing care, they can follow after ensuring the client’s immediate pain is managed. By prioritizing effective pain relief, the practical nurse aligns with the principles of patient-centered care and demonstrates responsiveness to the client’s needs.