A nurse is assisting with planning care for a 2-month-old infant during a well-child visit. The nurse should plan to administer which of the following Immunizations?

A. "I never did anything to deserve this.": This statement reflects feelings of anger and unfairness, which are characteristic of the anger stage of grief. The client is focusing on perceived injustice rather than attempting to negotiate or make promises to change outcomes.

B. "I'm going through a rough time, but things will improve.": This statement demonstrates hopefulness and optimism, which aligns more with denial or an attempt at coping. It does not indicate bargaining or negotiating to delay or change the outcome of the terminal illness.

C. "I need to see my child graduate from college before I go.": This statement reflects the bargaining stage of grief, where the client may make promises or set conditions in an attempt to postpone death or alter the outcome. It often involves “if only” thinking or focusing on specific events they hope to witness.

D. "I need to update my will as soon as possible.": Preparing legal documents or organizing affairs reflects acceptance of the terminal illness rather than bargaining. The client is acknowledging the inevitability of death and planning accordingly, which aligns with the acceptance stage of grief.

A. Administer pain medication on a regular schedule: In palliative care, maintaining consistent pain control is essential for comfort and quality of life. Scheduled administration prevents the recurrence of severe pain, reduces stress on the client, and avoids peaks and troughs in analgesic effect, which is more effective than waiting for pain to become severe.

B. Administer pain medication with caution to avoid addiction: In terminal cancer, the priority is comfort. Concerns about addiction are less relevant because the goal is effective pain management rather than long-term dependence. Opioid use in palliative care is aimed at symptom relief, not recreational use.

C. Administer a placebo if it is not time for pain medication: Placebos are unethical and ineffective in palliative care. Using a placebo can damage trust between the family, client, and healthcare team and does not provide actual analgesic benefit.

D. Administer scheduled doses of medication from a patient-controlled analgesia (PCA) pump: PCA pumps allow the client to self-administer doses and are not typically used for routine scheduled administration by family members. Family-administered dosing should follow prescribed schedules rather than PCA programming, which requires monitoring and education.