The nurse who is a member of the palliative care team is assessing a patient. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadequate

What teaching should the nurse do with this patient?
A) Medication should be taken when pain levels are low so the pain is easier to reduce.
B) Pain medication can be increased when the pain becomes intense.
C) It is difficult to control chronic pain, so this is an inevitable part of the disease process.
D) The patient will likely benefit more from distraction than pharmacologic interventions.


Ans: A
Feedback:
Better pain control can be achieved with a preventive approach, reducing the amount of time patients are in pain. Low levels of pain are easier to reduce or control than intense levels of pain. Pain medication is used to prevent pain so pain medication is not increased when pain becomes intense. Chronic pain is treatable. Giving the patient alternative methods to control pain is good, but it will not work if the patient is in so much pain that he cannot institute reliable alternative methods.

Nursing

You might also like to view...

A 74-year-old patient is admitted diagnosed with anhedonia, weight loss of 20 lb in 6 weeks, and pervasive guilt over issues that occurred in early adulthood

The patient is diagnosed with melancholic depression. Which intervention has the highest priority for inclusion in the care plan? a. Assess history of seasonal variations of mood. b. Observe for increased sensitivity to rejection. c. Monitor and document sleep patterns. d. Assess for echolalia and posturing.

Nursing

Which of the following is the best example of a positive learning environment for a group of developmentally disabled adults?

A) A local diner, seated near the door to the kitchen during lunchtime B) A brightly lit conference room with comfortable chairs C) A kindergarten classroom with small chairs that are low to the ground D) A park on a beautiful, sunny day

Nursing

The nurse notes there is a lack of convergence when testing a client's accommodation. Which cranial nerves should the nurse recognize are potentially dysfunctional? Select all that apply.

A. IV. B. II. C. III. D. VII. E. VI.

Nursing

A blood sample for measurement of bilirubin is required from a newborn receiving phototherapy. In what environment should this blood sample be drawn?

a. While phototherapy lights are turned off b. While newborn remains under phototherapy lights c. When newborn is covered with a blanket d. When newborn has been off phototherapy for 30 to 60 minutes

Nursing