A nurse is reinforcing teaching with the family of a client who is receiving palliative care for terminal cancer. Which of the following guidelines should the nurse emphasize about appropriate pain control measures?
Administer pain medication on a regular schedule.
Administer pain medication with caution to avoid addiction.
Administer a placebo if it is not time for pain medication.
Administer scheduled doses of medication from a patient-controlled analgesia (PCA) pump.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Cottage cheese: Cottage cheese is a dairy product that contains all nine essential amino acids, classifying it as a complete protein. It supports tissue repair and overall protein needs, making it suitable for a high-protein diet.
B. Whole wheat bread: Whole wheat bread is primarily a plant-based protein source and is considered an incomplete protein because it lacks one or more essential amino acids. It must be combined with other plant proteins to achieve completeness.
C. Salmon: Salmon is an animal-based protein that contains all essential amino acids, making it a complete protein. It also provides healthy omega-3 fatty acids, supporting cardiovascular health and anti-inflammatory benefits.
D. Hard-boiled eggs: Eggs are a classic source of complete protein, offering all essential amino acids in optimal proportions. They are highly digestible and ideal for meeting high-protein dietary requirements.
E. Steamed spinach: Spinach is a plant-based protein and considered incomplete because it does not provide all essential amino acids in adequate amounts. While nutritious, it cannot alone meet complete protein requirements.
Correct Answer is C
Explanation
A. Pour liquid by holding the bottle with the label facing the sterile field: When pouring solutions onto a sterile field, the label should face the nurse’s hand, not the sterile field. This prevents the liquid from running down the bottle and obscuring or washing off the label, which maintains accurate identification of the solution while protecting the sterile field.
B. Prepare the sterile field 5 cm (2 in) below the level of the waist: The sterile field should be set up at or above waist level to prevent accidental contamination. Positioning it below waist level increases the risk of droplets, contact with nonsterile surfaces, or accidental touches, compromising sterility.
C. Pour liquids from 10 to 15 cm (4 to 6 in) above the sterile field: Maintaining this distance ensures that the fluid is poured without splashing or touching the sterile field with the bottle, which reduces contamination risk. This technique balances control and safety while preserving sterility during preparation or dressing changes.
D. Open the outermost flap of the wrapper toward the body: The outermost flap should be opened away from the body to prevent reaching over the sterile field, which could result in accidental contamination. Opening toward the body increases the chance that clothing or hands might contact the sterile surface.
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