A nurse in along-term care facility is reinforcing teaching about pain control with a client who has terminal cancer. Which of the following information should the nurse include?
"A medication dose must be decreased if you develop tolerance."
"Pain patches are applied each morning and removed at bedtime."
"We will use intramuscular medications to control your pain."
"Analgesia should be used around the clock to promote pain control."
The Correct Answer is D
A. "A medication dose must be decreased if you develop tolerance.": Tolerance means the body becomes accustomed to the medication, often requiring higher—not lower—doses to achieve relief. Reducing the dose would worsen pain and diminish comfort, which is inappropriate in terminal cancer pain management.
B. "Pain patches are applied each morning and removed at bedtime.": Transdermal pain patches, such as fentanyl, are designed to provide continuous analgesia over 48–72 hours. Removing them daily disrupts steady pain control and leads to breakthrough pain.
C. "We will use intramuscular medications to control your pain.": IM injections are painful, have unpredictable absorption, and are avoided for chronic or end-of-life pain management. More comfortable and reliable routes—oral, transdermal, or IV—are preferred to maintain consistent relief.
D. "Analgesia should be used around the clock to promote pain control.": Scheduled dosing maintains steady medication levels and prevents breakthrough pain, which is essential for terminal cancer clients. This approach supports comfort, reduces suffering, and aligns with best practices for palliative pain management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- Location A points to the eye area which is where conjunctival pallor (paleness) might be observed in anemia, but not cheilosis.
- Cheilosis, or angular cheilitis, is a common clinical manifestation associated with iron-deficiency anemia, as well as deficiencies in B vitamins like riboflavin, pyridoxine and niacin. Location B points to the corners of the mouth (oral commissures). Cheilosis is characterized by the presence of fissures, scaling, and inflammation at these corners, where the lips meet.
- Location C points to the nose which is unrelated to cheilosis.
Correct Answer is D
Explanation
A. Include raw fruits and vegetables daily.: Raw produce can contain bacteria or contaminants that increase infection risk in a client with AIDS who may be immunocompromised. Foods should be cooked or washed thoroughly to reduce exposure to harmful pathogens.
B. Encourage three large meals a day.: Large meals can be difficult for clients with poor appetite, nausea, or fatigue, which are common in AIDS. Smaller, more frequent meals are better tolerated and help maintain adequate caloric intake.
C. Provide low-calorie snacks between meals.: Clients with AIDS often struggle with weight loss and elevated metabolic demands, so low-calorie snacks do not meet their nutritional needs. High-calorie, high-protein snacks help prevent muscle wasting and support energy levels. Low-calorie choices are insufficient.
D. Serve foods that are easy to swallow.: Clients with AIDS may experience oral pain, thrush, or swallowing difficulties, making soft or easy-to-swallow foods more comfortable. Providing such foods promotes adequate intake, reduces discomfort, and supports overall nutritional status.
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