Author Question: A dying patient with liver and renal failure requires pain medication. The nurse anticipates that ... (Read 24 times)

chandani · **on:** Jul 23, 2018

A dying patient with liver and renal failure requires pain medication. The nurse anticipates that the medication dose will be

a. Given at appropriate milligrams per kilogram medication levels.
b. A decreased dose from milligrams per kilogram levels.
c. An increased dose from milligrams per kilogram levels.
d. Given at midrange for dosing at recommended levels.

Question 2

During a follow-up visit, a woman is describing new onset of marital discord with her terminally ill spouse. Using the Kbler-Ross behavioral theory, the nurse recognizes that the spouse is in which stage of dying?

a. Denial
b. Bargaining
c. Anger
d. Depression

vboyd24 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
A dying individual will likely have a decline in renal and liver functioning. Because of reduced organ functioning, a decreased dose would be in order, so the individual does not develop toxic levels of the medications.

Answer to Question 2

ANS: C
Kbler-Ross' traditional theory involves five stages of dying. The anger stage of adjustment to an impending death can involve resistance, anger at God, anger at people, and anger at the situation. Denial would involve failure to accept a death. Bargaining is an action to delay acceptance of death by bartering. Depression would present as withdrawal from others.