Mrs. Bert is an 84-year-old woman with end-stage liver cancer and bone metastasis. Her family believes she is in considerable pain, but you observe her to be sleeping intermittently. As her nurse, you should
a. Wait for Mrs. Bert to request pain medication; after all, she could not be in too much pain if she sleeps
b. Medicate her only at night so she can get some quality sleep
c. Medicate every 4 to 6 hours as ordered to provide continuous pain management
d. Transfer her to the hospital
C
Response A is incorrect because Mrs. Bert may be using sleep as a coping mechanism to deal with her pain. Response B is incorrect because quality of sleep is not the issue—pain management is. Response D is inappropriate. Response C is correct; with continuous pain medication, Mrs. Bert would be able to rest well, have relief of pain, and perhaps have some interaction with family.
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