A Patient with Chronic Cancer Pain Experiences Breakthrough Pain (Level

question 8

Multiple Choice

A patient with chronic cancer pain experiences breakthrough pain (level 9 of 10) and anxiety while receiving sustained-release morphine sulfate (MS Contin) 160 mg every 12 hours. All these medications are ordered for the patient. Which one will be most appropriate for the nurse to administer first?

• A) Ibuprofen (Motrin) 400-800 mg orally
• B) Immediate-release morphine 30 mg orally
• C) Amitriptyline (Elavil) 10 mg orally.
• D) Lorazepam (Ativan) 1 mg orally

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Definitions:

College Educated

Referring to individuals who have completed a college degree or higher level of education.

Sadism

The tendency to derive pleasure, especially sexual gratification, from inflicting pain, suffering, or humiliation on others.

Genocide

The intentional and methodical annihilation of a group based on their nationality, race, politics, or culture.

Psychopaths

Individuals displaying a long-term pattern of manipulating, exploiting, or violating the rights of others, often lacking empathy and remorse.