Author Question: The nurse provides medication education to a client with terminal cancer. The physician has ordered ... (Read 71 times)

Deast7027 · **on:** Jul 22, 2018

The nurse provides medication education to a client with terminal cancer. The physician has ordered morphine (MS Contin), a Schedule II drug, for the client.

The nurse determines that learning has occurred when the client makes which statement? 1. This drug is addictive so I should only take it when my pain becomes severe..
2. I need to call the office for a refill before my medication runs out..
3. Maybe my doctor could change me to a Schedule IV drug..
4. I need to see my doctor before my prescription runs out so I can get a refill..

Question 2

The nurse is auscultating the chest of a patient who is admitted with asthma. What type of adventitious breath sounds is the nurse most likely to hear?

a. fine crackles c. pleural friction rub
b. stridor d. sonorous wheeze

atrochim · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. I need to see my doctor before my prescription runs out so I can get a refill..

Rationale:
Schedule II drugs cannot be refilled without the client seeing the physician. Not taking pain medication until the pain becomes severe is an inappropriate use of pain medication for a patient with terminal cancer. The client must see the physician for a refill, not call the office. A Schedule IV drug may not effectively relieve the client's pain.

Answer to Question 2

D
Fine crackles are heard in COPD, CHF, pneumonia, pulmonary fibrosis, and atelectasis. Stridor is heard in croup, foreign body obstruction, and large airway tumors. Pleural friction rub is heard in pleurisy, tuberculosis, pulmonary infarction, pneumonia, and lung abscesses. A sonorous wheeze is heard in asthma, bronchitis, airway edema, tumor, bronchiolar spasm, and foreign body obstruction.