The nurse caring for a client with terminal cancer assesses that ...

[jessicacav]

The nurse caring for a client with terminal cancer assesses that the pain is not adequately controlled with a low-dose opioid and ibuprofen.
 
  The nurse notifies the physician and anticipates that the physician will do which of the following based on the World Health Organization's three-step ladder approach to pain? 1. The physician will increase the dosage of the opioid.
  2. The physician will change to a stronger opioid.
  3. The physician will increase the dosage of the nonopioid medication.
  4. The physician will change to a stronger nonopioid medication.

Question 2

When beginning a complete bath on a 17-year-old in traction with bilateral femur fractures, the nurse's priority is which of the following?
 
  1. Enlisting help to turn the client
  2. Providing privacy for the bath
  3. Oral care
  4. Obtaining lotion to moisturize the skin

[jgranad15]

Answer to Question 1

1
Rationale: According to the three-step ladder program, the physician will continue to increase the current opioid dosage to maximum before changing to a stronger opioid. The nonopioid medication will not usually be altered.

Answer to Question 2

2
Rationale: The adolescent clientmost clients for that matterconsiders privacy very important during the bathing process, which would be the first priority. After arranging for privacy, the skin should be assessed to determine the need for lotion, as some people's skin is drier than others. Oral care is important but is not the first priority. The nurse will not require help to turn the client until preparing to do the back and buttocks, so this is not the priority at this time.