NCLEX quiz: Pain management for oncologic clients

A hospice client has increasing pain. Analgesics should be scheduled to provide:

A client with pancreatic cancer has developed a tolerance to morphine that is administered via subcutaneous pump. The nurse understands that this client:

A client takes 150 mg oral long-acting morphine every 12 hours for abdominal pain related to advanced ovarian cancer. After hospital admission for complications, the physician discontinues the oral morphine, and orders 6 mg/hr IV. The nurse should:

An elderly female with metastatic breast cancer takes long-acting morphine 120 mg every 12 hours for pain. She can also have 20 mg immediate-release morphine every 3 to 4 hours for breakthrough pain. The physician should be contacted when the client uses more than ____ breakthrough doses of morphine in 24 hours.

A client is taking nonsteroidal anti-inflammatory drug (NSAID) for pain management. Which body system of this client should be particularly assessed?

Which of the following sets of signs/symptoms are expected in a client experiencing chronic pain?

A client with lung cancer is being cared for by his wife at home. His pain is increasing in severity. The nurse knows to reeducate the wife when she:

A nurse assesses the pain of a client with bone cancer. Which of the following is the most significant aspect of pain for this client?

Meperidine (Demerol) is not recommended for chronic cancer-related pain because:

A 60-year-old client with chronic cancer pain was placed on an opiod 4 months ago to treat a pain level of 8 on a 1 to 10 pain scale. Currently, this client is again complaining of a pain level of 8 on a 1 to 10 scale without any change in her cancer. This client is exhibiting: