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 M2 (0-1: presence of metastasis).He has a as needed (PRN)order of 4 mg morphine,intramuscularly (IM)every 3 to 4 hours.He requests another pain shot approximately hours after the last one.An appropriate nursing action would be to:

Question

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 M2 (0-1: presence of metastasis).He has a as needed (PRN)order of 4 mg morphine,intramuscularly (IM)every 3 to 4 hours.He requests another pain shot approximately  hours after the last one.An appropriate nursing action would be to:

Quizplus · Accepted Answer

Terminal care does not include concerns about morphine addiction.Medication may be given 15 minutes before or after an allotted time.The occurrence of breakthrough pain is a real concern for this patient.

A Patient Has a Cancer That Has Been TNM Staged