QOD 64: Pain Management in and Oncology Patient (Oncology/Basic Care and Comfort)

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Question:

A patient who is dying of cancer tells the nurse that he is in extreme pain. Which of the following principles should the nurse adhere to when managing pain in a dying patient? Select all that apply.

Answer:

A.  Determine if the patient has developed drug tolerance

D.  Discuss increasing the dose of pain medication with the physician

E.  Monitor for side effects of increasing opioid use

Rationale: 

Cancer pain is common among dying patients; some healthcare providers do not like to administer high doses of pain medications because they fear addiction or side effects. A patient with cancer may develop medication tolerance and may need more pain medication as part of palliative care if he is dying.

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