A client with colon cancer is discharged to home with morphine for pain management. He is having episodes of nausea and vomiting. Which route of morphine administration would be most advantageous to use?
a. Oral
b. Rectal
c. Intravenous
d. Intramuscular
B
Rectal administration of opioids is recommended for clients who are NPO, nauseated, or at home. Oral agents are the preferred route of analgesia in many cases. However, because of his nausea and vomiting, this client does not have the functional GI system needed for good absorp-tion of oral agents. Intramuscular agents are not recommended for cancer pain. Intravenous agents are recommended when oral and rectal routes fail to provide pain control.
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When the patient asks the nurse to make sure no one sees her with her dentures out, the nurse recognizes the common preoperative fear of:
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The nurse is assessing a patient who appears fatigued, pale, and says that he has lost 15 pounds over the last month. This information suggests to the nurse that the patient:
1. Should be further assessed for the presence of a malignancy. 2. Is having financial difficulty. 3. Is depressed. 4. Has a change in taste and smell and has probably lost interest in food.