A nurse is caring for a client with bone metastases from breast cancer who is experiencing severe breakthrough…

Question

A nurse is caring for a client with bone metastases from breast cancer who is experiencing severe breakthrough pain despite receiving around-the-clock morphine. Which nursing action should be the priority?

Accepted Answer

보기 2: Administer the prescribed short-acting opioid for breakthrough pain and reassess in 15-30 minutes

Breakthrough pain requires immediate administration of prescribed short-acting opioids, followed by reassessment for safety and efficacy. Other options (increasing dose without orders, non-pharmacologic methods alone, or heat therapy) are unsafe or insufficient for severe breakthrough pain.

Answer

보기 1: Administer an additional dose of the scheduled long-acting morphine immediately

Answer

보기 3: Apply a heating pad to the most painful bone sites for 20 minutes

Answer

보기 4: Teach the client to use guided imagery and relaxation techniques for pain

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A nurse is caring for a client with bone metastases from breast cancer who is experiencing severe breakthrough pain despite receiving around-the-clock morphine. Which nursing action should be the priority?

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