A patient has a cancer that has been TNM staged as T3 (1-4, size of primary tumor), N2 (0-3, degree of spread to regional lymph nodes), and M1 (0-1, presence of metastasis).He has an as needed order of 4 mg of morphine intramuscularly every 4 hours.He requests another pain injection approximately 3.5 hours after the last one.What is the most appropriate nursing action?

Question

Quizplus · Accepted Answer

The most appropriate nursing action is to give the morphine and evaluate the results of pain relief. This patient has cancer that has been staged as T3N2M1, which is indicative of advanced cancer with spread. Pain relief in these patients is a priority and the patient's request for additional pain medication indicates the need for further pain management. It is important for the nurse to give the medication and evaluate the effectiveness of pain relief. The nurse should also arrange for the physician to evaluate for breakthrough pain. Option A is not appropriate as the concern for addiction is not relevant in this situation. Option B is not appropriate as delaying pain relief is not in the best interest of the patient. Option D is not appropriate as it is not the role of the family to help the patient accept waiting longer for pain relief.

A Patient Has a Cancer That Has Been TNM Staged