A postoperative African-american pt with a history of heart failure is being prepared for discharge. The pt continues to report pain as 5 to 6 on a 0 to 10 scale. The physician wrote a prescription for ibuprofen to be taken 3 times a day. The pt expresses concern about the prescription. The physician states "opioids are inappropriate for her acute pain." Which of the following is indicated
A. instruct the pt to fill the prescription and call the physician if pain goes unrelieved.
B. realize women complain of pain more frequently than men do, and the prescription is realistic.
C. explain to the pt that African-Americans are at greater risk for opioid abuse than Caucasians and that the prescription is appropriate.
D. collaborate with the physician to determine if race impacted the pain management decision