The nurse is caring for a patient following painful radiation ...

[Medesa]

The nurse is caring for a patient following painful radiation treatment for newly diagnosed cancer. Which question, if asked by the nurse in the orientation phase, is most likely to elicit a meaningful response?
 
  a. Don't you love this weather?
  b. How have things been going for you?
  c. Tell me why you didn't stop smoking.
  d. Are you having any pain?

Question 2

The physician orders a dose of morphine that the nurse considers excessive. The nurse should:
 
  a. administer the medication.
  b. ask another nurse to administer the medication.
  c. call the supervisor.
  d. contact the physician.

[Harbringer]

Answer to Question 1

D
Pain must first be addressed before the interview can proceed. Option a is a stereotypical com-ment. Option b (exploring) is best addressed once pain has been assessed and treated. Explora-tion of needs, feelings, emotions, and concerns would be addressed in the working phase. Option c is likely to elicit a defensive response and will hinder therapeutic communication.

Answer to Question 2

D
The physician must be notified for clarification of the dose. If the nurse still considers the dose excessive, he or she may refuse to administer it. Administering the medication (Option a) is not a safe option, nor is asking another nurse to administer it. If the issue cannot be resolved between the nurse and physician, the supervisor should be notified.

[Medesa]

TYSM

[scottmt]

Gracias!