A patient, age 63, has terminal cancer of the liver and is cared for by his wife at home. His abdominal pain has become increasingly severe, and he now says it is intense most of the time.
The nurse recognizes that teaching regarding pain management has been effective based on which measure implemented by this patient? a. Limiting the use of opiate analgesics to prevent addiction
b. Using analgesics only when the pain becomes more than he can tolerate
c. Taking analgesics around the clock on a regular schedule, using additional doses for breakthrough pain
d. Resigning himself to the fact that pain is an inevitable consequence of cancer
Question 2
A patient, age 58, has bronchogenic cancer and is hospitalized for chemotherapy. Administration of doxorubicin (a vesicant, antitumor, antibiotic) in combination with other chemotherapeutic agents is planned for her.
Her husband rarely visits while she is in the hospital. She tells the nurse that she thinks her husband does not care for her anymore since she has become ill. On one occasion when the patient's husband was present, he told the nurse he just could not stand to see his wife so ill and did not know what to say to her. The nurse identifies which nursing diagnosis in this situation? a. Compromised family coping related to necessary role changes
b. Interrupted family processes related to effect of illness on family members
c. Risk for caregiver role strain related to burdens of caregiving responsibilities
d. Impaired home maintenance related to perceived role changes
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
Example of problem focused patient
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