Difficulty: Medium
Average Score: 91%
Simulated
A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?
Correct answer
B
Rationale
The correct answer is B: Continue the medication dosages that relieve the client's pain. The rationale behind this is that the nurse's primary goal is to relieve the client's pain while maintaining comfort. Since the client is somnolent and difficult to arouse after receiving the opioid and benzodiazepine, it is important to continue providing the prescribed medications as they are effectively managing the client's pain. Withholding or changing medications at this point may lead to inadequate pain relief or unnecessary discomfort for the client. Therefore, the best course of action is to continue the current medication regimen unless there are specific contraindications or adverse effects that necessitate adjustment.
Incorrect choices:
A: Withholding the benzodiazepine but continuing the opioid may not address the client's pain adequately, as both medications seem to be effective in managing the pain.
C: Contacting the provider about replacing the opioid with an NSAID is not appropriate in this situation, as the client is already receiving
Incorrect choices:
A: Withholding the benzodiazepine but continuing the opioid may not address the client's pain adequately, as both medications seem to be effective in managing the pain.
C: Contacting the provider about replacing the opioid with an NSAID is not appropriate in this situation, as the client is already receiving