A Hospice Patient Is in Continuous Pain, and the Health

question 12

Multiple Choice

A hospice patient is in continuous pain, and the health care provider has left orders to administer morphine at a rate that controls the pain. When the nurse visits the patient, the patient is awake but moaning with severe pain and asks for an increase in the morphine dosage. The respiratory rate is 10 breaths per minute. The most appropriate action by the nurse is to

• A) titrate the morphine dose upward until the patient states there is adequate pain relief.
• B) administer a nonopioid analgesic, such as ibuprofen, to improve patient pain control.
• C) tell the patient that additional morphine can be administered when the respirations are 12.
• D) inform the patient that increasing the morphine will cause the respiratory drive to fail.

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Definitions:

Estrogen Secretion

Estrogen Secretion refers to the production and release of estrogen hormones by the ovaries, which are vital in regulating the reproductive system and secondary sexual characteristics in females.

Follicular Phase

The phase of the menstrual cycle during which follicles in the ovary mature, ending with ovulation.

Granulosa Cells

Specialized cells within the ovary that surround developing eggs (oocytes) and secrete hormones necessary for oocyte maturation and regulation of the menstrual cycle.

Androgens

Male sex hormones, such as testosterone, that are responsible for the development of male physical characteristics and reproductive functions.