An older patient living at home with cancer reports having to take twice as much pain medication over the last 24 hours. What should the nurse do with this information?

1. Adjust the medication as needed.
2. Discuss options to treat breakthrough pain.
3. Try alternative methods for pain relief instead of pain medication.
4. Talk with the physician to change the medication because of opioid tolerance.


2
Rationale: The patient may be experiencing breakthrough pain and a different pain management approach may be needed. Adjusting the medication as needed could lead to problems with pain management.

Nursing

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You are doing teaching with a patient who has a leg ulcer. You are teaching about tissue repair and wound healing. Which of the following statements by the patient indicates that teaching has been effective?

A) "I'll limit my intake of protein." B) "I'll make sure that the bandage is wrapped tightly." C) "My foot should feel cold." D) "I'll eat plenty of fruits and vegetables."

Nursing

Qualitative description is often a powerful means of enhancing this type of validity of settings?

A) Statistical conclusion validity B) Internal validity C) Construct validity D) External validity

Nursing

During an in-person interview, it is appropriate to address the person by her first name so that you initiate a casual conversation

Indicate whether the statement is true or false.

Nursing

Positive outcomes rely on the:

A. Number of laboratory tests ordered B. Quality of decisions made C. Use of pharmacologic modalities D. Time saved by use of ancillary personnel

Nursing