A client reports pain worsening in their right forearm, rating the pain as 7 on a scale of 0 to 10. The client also states their right hand is "tingly.”. The client is able to move their fingers. The client is avoiding eye contact with staff and is more withdrawn. The client's adult child is at the bedside. The client appears drowsy and less alert, but is oriented to person, place, time, and situation. The client's apical pulse is regular, and their lungs are clear to auscultation. A report is given to the operating room nurse, and the client is en route to the surgical suite via gurney for repair of a right radial fracture.