Question : A client who is receiving sustained-release morphine sulphate : 2135444
6. A client who is receiving sustained-release morphine sulphate every 12 hours for chronic pain experiences level 9 (0–10 scale) breakthrough pain and anxiety. Which of these prescribed medications should the nurse anticipate administering?
a. Lorazepam 1 mg orally
b. Amitriptyline 10 mg orally
c. Ibuprofen 400–800 mg orally
d. Immediate-release morphine 30 mg orally
7. The nurse is caring for a client with chronic back pain who has arrived at the pain clinic for a follow-up appointment. In order to evaluate whether the pain management is effective, which of the following questions is most appropriate for the nurse to ask?
a. “Can you describe the quality of your pain?”
b. “Has there been a change in the pain location?”
c. “How would you rate your pain on a 0–10 scale?”
d. “Does the pain keep you from doing things you enjoy?”
8. A client with second-degree burns has been receiving morphine through patient-controlled analgesia (PCA) for a week. The client wakes up frequently during the night complaining of pain. Which of the following actions should the nurse implement?
a. Administer a dose of morphine every 1–2 hours from the PCA machine while the client is sleeping.
b. Consult with the health care provider about using a different treatment protocol to control the client’s pain.
c. Request that the health care provider order a bolus dose of morphine to be given when the client awakens with pain.
d. Teach the client to push the button every 10 minutes for an hour before going to sleep, even if the pain is minimal.
9. The nurse is caring for a client who is receiving epidural morphine. Which of the following information obtained by the nurse indicates that the client may be experiencing an adverse effect of the medication?
a. The client has cramping abdominal pain.
b. The client becomes restless and agitated.
c. The client has not voided for over 10 hours.
d. The client complains of a “pounding” headache.
10. The nurse visits a hospice client and assesses a respiratory rate of 8 breaths/minute and the client states “I am having severe pain”. Which of the following interventions should the nurse implement at this time?
a. Inform the client that increasing the morphine will cause the respiratory drive to fail.
b. Administer a nonopioid analgesic, such as a nonsteroidal anti-inflammatory drug (NSAID), to improve client pain control.
c. Tell the client that additional morphine can be administered when the respirations are 12.
d. Titrate the prescribed morphine dose upward until the client indicates adequate pain relief.