Question

Ellen Watson is a 65-year-old white woman who just had a colon resection for a cancerous tumor. The surgeon ordered a morphine PCA pump to control the pain. Mrs. Watson has severe arthritis in her hands and lower back. She is on a daily NSAID to control the pain related to the arthritis. Her daughter Marie is staying with her during the hospitalization because Mrs. Watson is a widow. Mrs. Watson has not had surgery before, so she is not sure what to expect. She is upset about the diagnosis of cancer. Lana Bridges is a student nurse assigned to care for Mrs. Watson. She is in her last clinical rotation and will be administering all medications with her instructor’s supervision. QUESTIONS: (Please provide both the ANSWER and RATIONALE)
1. Lana goes in to meet Mrs. Watson, and Mrs. Watson is holding her abdomen and is
restless. She is pale. Lana asks Mrs. Watson to rate her pain on a scale of 1 to 10 with 10 being the worst pain you could have. Mrs. Watson tells Lana that it is a 9. Lana checks the PCA pump and notices that Mrs. Watson has not been pushing the button for medication delivery. What should Lana do to alleviate the pain?

2. Mrs. Watson tells Lana that she is worried about getting addicted to the morphine
because she has heard that it can happen. How should Lana respond?
a. “Don’t worry. The cancer prevents you from becoming addicted.”
b. “It is okay. Because you have severe pain, the medication is necessary. There
is little chance of addiction.” c. “That is a valid worry. I wouldn’t want to become addicted.” d. “My cousin was addicted to pain killers when he had cancer.”

3. Lana is developing Mrs. Watson’s care plan. She wants to add more interventions
and not just deliver pain medication. What are some other nursing actions that
would be helpful to Mrs. Watson? (Select all that apply.)
a. Relaxation techniques b. Distractions such as music c. Cold or heat applications d. Massage

4. Lana is assigned to Mrs. Watson 2 days later. While she is in the room, Mrs. Watson
tells Lana that she is afraid of the cancer because there is always so much pain
associated with it. She asks Lana how to they treat cancer pain. How should Lana
respond to this question?

Answer 1

1.patient-controlled analgesia (PCA) pump lets give intravenous (IV) pain medicine when you need it. This gives more control of pain relief. The nurse should assist and educate about the usage of PCA pump.

Later the patient bcan press the button not the pump to alleviate the pain

2.b

. “It is okay. Because you have severe pain, the medication is necessary. Therei islittle chance of addiction

3.all are applicable

a. Relaxation techniques b. Distractions such as music c. Cold or heat applications d. Massage

4.Since pain is different and special to each person, the medications used are tailored to the desires and needs of an individual. Pain medication, acupuncture, relaxation, biofeedback, massage, and natural herbs and remedies are among the many options for pain management. You can decide what treatment would be best for you depending on the location and severity of the pain and considerable alternatives are always good.