What reason is acceptable for withholding or decreasing pain medication in a client with end-stage cancer who is experiencing severe pain?
A. The client's spouse is worried the client may be becoming addicted to the pain medication.
B. The client wants to remain alert during the visit of a friend whom he has not seen in 8 years.
C. The client has lost considerable weight and does not want to eat.
D. The client is becoming combative at night.
B
The client has the right to choose whether or not to take pain medication. In this case, although obtaining relief from pain after reducing the medication schedule temporarily may make achiev-ing pain control again later more difficult, the client's wishes should be respected. The nurse should encourage a reduced dose rather than a "skipped" or delayed dose.
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MC After administering a tap-water enema, the solution was not returned. Which of the following interventions could be helpful in expelling the solution?
A. Gently massage the client's abdomen. B. Instruct the client to turn side-to-side. C. Replace the rectal tube and lower the bag below bed level. D. Administer a stronger enema solution, such as soap suds.
The hospital administration asks nursing services to assume housekeeping duties from midnight until 6:00 a.m
Nurses are fearful that this is the first step to shifting complete 24-hour-per-day responsibility for housekeeping duties to nursing services. The nurses believe this would take away from their ability to provide quality nursing care to their patients. This scenario is an example of which ethical concept? 1. The MORAL argument 2. Slippery slope thinking 3. Relevance thinking 4. Reluctance model
From the list below, select all items that would constitute barriers to effective delegation
a. Decisiveness b. Micromanaging c. Policies that tolerate mistakes d. Management-by-crisis mode e. Confidence in self f. Work overload
Questions for Taking A Child's Perspective