A client who is at the end of life is being given morphine for pain management. The family expresses concern that the morphine may cause the client to stop breathing and die. What is the nurse's best response?
a. "He needs the morphine to prevent pain."
b. "His respirations are not affected by the morphine."
c. "We will decrease the dose if his breathing slows."
d. "We will give him oxygen to help with his breathing."
B
Because clients become tolerant to the respiratory effects of an opioid, it does not hasten death unless the dose was not properly and gradually titrated. Decreasing the drug would cause pain to occur, and oxygen will not help with his rate of respirations.
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You are caring for a patient who speaks a language different from your own. You recognize that special approaches for overcoming the language barrier would include which of the following? Select all that apply
a. Use clichés and jargon for a little humor b. Avoid defensive or offensive body language c. Use a different interpreter for each interaction d. Speak to the interpreter, rather than to the patient e. Provide reading material written in the appropriate language f. Use a culturally sensitive interpreter with fluency in health care terminology
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