Taking into consideration the hospice client's chronic pain from ...

[dollx]

Taking into consideration the hospice client's chronic pain from bone cancer, the most appropri-ate person to collaborate with regarding management of pain is:
 
  1. Occupational therapist to devise a splint for the client's leg
  2. Physical therapist to determine exercises to strengthen the leg muscles
  3. Art therapist to provide creative therapy as a diversion
  4. An oncology nurse

Question 2

A client who ruptured his spleen in a motor vehicle accident rates his postoperative pain as a level 8 on a 0 to 10 pain scale.
 
  After administering pain medication, the nurse discusses the use of complementary therapies with the client to explore ways to reduce the pain. The client would like to try a massage. The nurse delegates this task to the assistive personnel (AP). Which of the following instructions is most important for the nurse to share with the AP?
  1. You need to warm the bottle of lotion before using it.
  2. Report any changes in the client's skin condition to me immediately.
  3. Do not massage the client's legs.
  4. Massage each body part at least 10 minutes.

[lorealeza77]

Answer to Question 1

ANS: 4
An oncology nurse specialist is very familiar with pharmacological and nonpharmacological in-terventions that are most effective for chronic/persistent pain. The client is terminally ill, and alt-hough occupational therapy, physical therapy, and art therapy are all important therapies to con-sider, in this case the most appropriate discipline is the nurse who cares for this type of client and is familiar with the interventions that would be most appropriate.

Answer to Question 2

ANS: 3
The nurse should instruct the AP not to massage the client's legs or calf muscles, because there is a risk for dislodging a vascular clot. The nurse needs to know about changes in the condition of the client's skin, but this can be obtained after the client's massageit is not as critical as the AP's knowing not to massage the client's legs before beginning the massage.