The client diagnosed with renal calculi is receiving pain medication via morphine patient-controlled analgesia (PCA). The client is still voicing excruciating pain and is requesting something else....

The client diagnosed with renal calculi is receiving pain medication via morphine patient-controlled analgesia (PCA). The client is still voicing excruciating pain and is requesting something else. Which intervention should the nurse implement first?

1. Administer the rescue dose of morphine intravenous push.

2. Check the client’s urine for color, sediment, and output.

3. Determine the last time the client received PCA morphine.

4. Demonstrate how to perform guided imagery with the client.