A patient has a cancer that has been TNM staged as T3 (1-4, size of primary tumor), N2 (0-3, degree of spread to regional lymph nodes), and M2 (0-1, presence of metastasis)
He has an as needed order of 4 mg of morphine intramuscularly every 3 to 4 hours. He requests another pain injection approximately hours after the last one. What is the most appropriate nursing action? a. Inform the patient that this narcotic may be given only every 4 hours to prevent addiction.
b. Ignore the call bell for 20 minutes and then take at least 10 minutes to prepare and administer the injection.
c. Give the morphine and evaluate the results of pain relief. Arrange for the physician to evaluate for breakthrough pain.
d. Ask the family to assist in helping the pa-tient accept waiting longer to receive an addicting medication such as morphine.
C
Terminal care does not include concerns about morphine addiction. Medication may be given 15 minutes before or after an allotted time. The occurrence of breakthrough pain is a real concern for this patient.
You might also like to view...
An IV is infusing at 36 gtt/min. The drop factor is 20 gtt/mL. In 8 hours, the client will have received _______________
a. 760 mL b. 864 mL c. 288 mL d. 3,800 mL
One of the differences in using the Z-track method of IM medication administration and the usual IM injection is that the Z-track method:
a. takes more time b. does not have the site rubbed or wiped after administration c. is more painful d. requires a larger needle and syringe
As nurses whose population-focused efforts involve advocating for the rights of children, the mentally ill, the indigent, and immigrants, these nurses recognize that they are advocating for the same groups as which person who also helped to
establish the Children's Bureau? a. Dorothea Dix c. Lillian Wald b. Mary Agnes Snivley d. Isabel Hampton Robb
What is the priority nursing intervention for a child hospitalized with hemarthrosis resulting from hemophilia?
a. Immobilization and elevation of the affected joint b. Administration of acetaminophen for pain relief c. Assessment of the child's response to hospitalization d. Assessment of the impact of hospitalization on the family system