A 90-year-old client with carcinoma of the prostate complains of severe, excruciating pain in his lower limbs and hips. The attending physician has prescribed heavy doses of narcotics to relieve the pain

Question

Which must the nurse keep in mind when caring for the client? A) Client may have an increased concern of drug abuse and dependency.
B) The client's pain may suddenly increase, indicating impending death.
C) Client may be allowed to self-administer narcotics, if he is capable of doing so.
D) Alternative therapies, such as homeopathy and herbal remedies, are avoided.

Answer 1

C
Feedback:
Patient-controlled analgesia (PCA) may be used, so the client can self-administer opiates. Even though large doses of narcotics are given, physicians usually do not feel the need for concern about drug abuse or dependency. Generally, just before death, pain may ease or disappear and not increase, often indicating impending death. Alternative medicines, such as homeopathy, use of flower essences or essential oils, herbal remedies, or various traditional cultural remedies, have proved helpful for many clients.