A hospice nurse is caring for a patient who has terminal cancer and is receiving hospice care for stage 4 metastatic breast cancer.
The patient experiences excruciating pain and is scheduled for morphine 10mg IM every 6 hours. The patient is sleeping, and the medication is due.
What action should the nurse take?
Hold the pain medication until the patient wakes up.
The patient should be given the scheduled pain medication.
Call the family and ask if the patient would like to be woken up to have their pain medication.
The patient has become addicted to the medication and is sleeping the last dose off.
The Correct Answer is B
Choice A rationale
Holding the pain medication until the patient wakes up is not the best choice. Pain can disrupt sleep, and it’s important to keep the patient as comfortable as possible. If the patient is sleeping, it may be because the pain is well-controlled, and delaying the medication could lead to a return of pain.
Choice B rationale
The patient should be given the scheduled pain medication. This is the best choice because it ensures that the patient’s pain is managed effectively. Even if the patient is sleeping, the medication should be given to prevent the pain from returning.
Choice C rationale
Calling the family and asking if the patient would like to be woken up to have their pain medication is not the best choice. The nurse should make this decision based on the patient’s pain level and the medication schedule, not on the family’s preferences.
Choice D rationale
The statement that the patient has become addicted to the medication and is sleeping the last dose off is not accurate. Addiction is a complex condition characterized by compulsive drug use despite harmful consequences. In this case, the patient is receiving the medication for a legitimate medical reason, and there is no indication of addiction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
This statement is not accurate. Relapsing-remitting multiple sclerosis (RRMS) is characterized by periods of new symptoms or relapses that develop over days or weeks and usually improve partially or completely. These episodes are followed by periods of remission, where the disease does not progress. Therefore, RRMS does not cause a steady and gradual decline in function.
Choice B rationale
This is the correct answer. Stress and extreme fatigue can trigger a relapse in RRMS1. Therefore, it is important for patients to avoid these triggers to manage their symptoms effectively.
Choice C rationale
This statement is incorrect. RRMS is the most common disease course at the time of diagnosis. It is not the least common type of multiple sclerosis.
Choice D rationale
This statement is not accurate. Medications for RRMS, known as disease-modifying treatments (DMT), are designed to reduce the frequency and severity of relapses. They are not intended to be taken only during times of relapse, but rather on an ongoing basis to manage the disease.
Correct Answer is ["A","D"]
Explanation
Choice A rationale
Wrist supports for computer keyboards are considered ergonomic because they help maintain a neutral wrist position, reducing the risk of repetitive strain injuries.
Choice B rationale
IV stands at a fixed height are not considered ergonomic. Adjustable height stands would be more ergonomic as they can be tailored to the user’s height, reducing the risk of strain or injury.
Choice C rationale
Standard height toilets are not considered ergonomic. Toilets that are height-adjustable or at a comfortable height for the user would be more ergonomic, reducing the risk of falls or strain.
Choice D rationale
Shower chairs are considered ergonomic as they can reduce the risk of falls in the shower by providing a stable seat for users. They can be particularly beneficial for individuals with mobility issues.
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