A client with osteocarcinoma is seen at the physician's office ...

[cnetterville]

A client with osteocarcinoma is seen at the physician's office for a checkup. During the appointment, the client reports the pain is becoming increasingly unbearable and asks the nurse about the best way to schedule analgesic medications.
 
  What information should be provided to the nurse?
  A) Take analgesic medications when the pain is no longer bearable.
  B) Take analgesic medications when the pain initially begins.
  C) Take the pain medications in the morning upon arising.
  D) Schedule the medications around the clock.

Question 2

An older patient dying of end-stage pulmonary disease and dementia receives narcotic medication for chronic pain. Currently the patient is restless and grimacing. How should the nurse interpret these assessment findings?
 
  1. The patient is in pain.
  2. The patient has an undiagnosed personality disorder.
  3. The patient needs nonpharmacological pain management approaches.
  4. The patient is not experiencing any difference in pain level and no adjustments are needed.

[rnehls]

Answer to Question 1

D

Answer to Question 2

1
Rationale: When an older adult is unable to speak or self-report the level of pain, the nurse should carefully observe the patient for behavioral symptoms of pain that may include restlessness and grimacing.

[cnetterville]

TYSM

[marict]

Excellent