A 70-year-old client with renal impairment has a prescription for ketorolac 30 mg IV every 6 hours. Which action should the nurse take?

• 1 Administer 60 mg IV now because older adults with renal impairment require a larger loading dose for pain.
• 2 Administer 30 mg IV every 4 hours to maintain analgesia while renal function is monitored once daily.
• 3 Hold and clarify the order; the labeled regimen for this client is 15 mg every 6 hours, maximum 60 mg/day. ✓ Correct answer
• 4 Continue ketorolac 30 mg every 6 hours beyond 5 days if gastrointestinal symptoms do not occur.

For study reference only. Always follow current clinical guidelines and your institution’s protocols.