A client in a hospice home care program is experiencing severe pain. Morphine (MS Contin) has been prescribed for pain management. Which information should the nurse plan to explain to the client in preparation for this pain management regimen?a. Drug addiction is a concern with this drugb. Request the medication before the pain becomes severec. Intermittent administration of the drug is possible after an intermittent lock is insertedd. Dosages of the drug will be given automatically at regular intervals around the clock

1. A client in a hospice home care program is experiencing severe pain. Morphine (MS Contin) has been prescribed for pain management. Which information should the nurse plan to explain to the client in preparation for this pain management regimen?

a. Drug addiction is a concern with this drug

b. Request the medication before the pain becomes severe

c. Intermittent administration of the drug is possible after an intermittent lock is inserted

d. Dosages of the drug will be given automatically at regular intervals around the clock

B!

Primary prevention is focused on health promotion and illness prevention. Tertiary prevention is focused on rehabilitation and the reduction of residual effects. Secondary prevention is focused on early detection and treatment. No type of prevention is specifically known as therapeutic; however, all types of prevention should be therapeutic.
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B!

A stage II pressure ulcer is a partial-thickness ulceration of epidermis or dermis; it presents as an abrasion, blister, or shallow crater, has a red/pink wound bed, has no tissue sloughing, and may have an intact/open serum filled blister. A stage I ulcer has tissue injury with a purple or maroon localized area of intact skin or blood-filled blister; the area may be firm, boggy, warmer, cooler, or painful in comparison with nearby tissue. A stage III pressure ulcer has full-thickness ulceration involving the epidermis, dermis, and subcutaneous tissue; sloughing may be present, it presents as a deep crater with or without undermining, and bone, tendon, or muscle are not exposed. A stage IV pressure ulcer involves full-thickness skin loss and damage to muscle, bone, or tendon; sloughing or eschar may be present on parts of the wound bed, and it often includes undermining and tunneling.
D&E!

Immunization programs prevent the occurrence of disease and are considered primary interventions. Stopping smoking prevents the occurrence of disease and is considered a primary intervention. Preventing disabilities is a tertiary intervention. Correcting dietary deficiencies is a secondary intervention. Establishing goals for rehabilitation is a tertiary intervention.
D!

The drug will be given routinely to maintain a continuous therapeutic blood level to keep the terminally ill client comfortable. Addiction is not a major concern for the terminally ill client. The client should not have to request this medication; it should be given regularly. Morphine is not administered intermittently; usually, it is prescribed in liquid form and is taken orally when administered in the home.