The nurse caring for a client with terminal cancer assesses that the pain is not adequately controlled with a low-dose opioid and ibuprofen

The nurse notifies the physician and anticipates that the physician will do which of the following based on the World Health Organization's three-step ladder approach to pain? 1. The physician will increase the dosage of the opioid.
2. The physician will change to a stronger opioid.
3. The physician will increase the dosage of the nonopioid medication.
4. The physician will change to a stronger nonopioid medication.


1
Rationale: According to the three-step ladder program, the physician will continue to increase the current opioid dosage to maximum before changing to a stronger opioid. The nonopioid medication will not usually be altered.

Nursing

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A person's psychosocial needs during the dying process of a relative may include:

A) Flexible visitation, participation in patient care B) Flexible visitation, denial of imminent death C) Limited visitation, participation in patient care D) Short, frequent visitation; participation in patient care

Nursing

The nurse would use which term when implying that the recipient of health care is an active participant in the health care process, with both rights and responsibilities?

A) ?patient ?B) ?consumer C) ?client ?D) ?advocate

Nursing

To build relational continuity with each client, the nurse strives for

a. the use of data to tailor current treatment and care to each client's evidenced needs. b. accurate record sharing and technology to allow real-time communication exchanges between providers and with clients in remote sites. c. a consistent, coherent care management approach that can be flexibly adjusted as client needs change. d. a therapeutic relationship with a practitioner that spans more than one episode of care and leads, in the practitioner, to a sense of clinical responsibility and an accumulated knowledge of the client's personal and medical circumstances

Nursing

Which statement by the nurse best describes effective team communication?

A) "Team communication requires individual commitment." B) "Worldviews and values are similar among team members." C) "Team communication is a complex social process." D) "Effective communication is indirect and broad in scope."

Nursing