The patient has been receiving amitriptyline (elavil for 2 weeks. he tells the nurse he doesn't think this medicine is working, as he is still depressed. what is the best response by the nurse? "it is working, but it can take several weeks to have an effect." "you might still feel depressed, but you are looking much better." "this may not be the best medicine for you; i'll call your doctor." "it is working, but it can take several months to have an effect."

You are assessing an 86-year-old postoperative patient who has an unexpressive, stoic demeanor. when you enter the room, the patient is curled into the fetal position and your assessment reveals that his vital signs are elevated and he is diaphoretic. you ask the patient what his pain level is on a 0-to-10 scale that you explained to the patient prior to surgery. the patient indicates a pain level of “three or so.” you review your pain-management orders and find that all medications are ordered prn. how would you treat this patient's pain?