A client with end-stage cancer is on a continuous IV of morphine to control intractable pain. The family is concerned that the client has a decreasing level of consciousness and has shallow respirations. Which action by the nurse is most appropriate?
A) Call the physician and report the family's concerns.
B) Prepare to administer naloxone (Narcan).
C) Review the goals of end-of-life care with the family.
D) Slow the rate of the IV infusion.

Question

Quizplus · Accepted Answer

Respiratory depression is a side effect of opioid medications and is treated with naloxone. However, in a case where the client is receiving end-of-life care, the goals are a peaceful and pain-free death. All terminally ill clients experience some degree of altered mentation and respiratory changes. The nurse should review this information with the family and not plan on slowing the IV rate or giving naloxone. The nurse can call the physician to relay the family's concerns, but the primary nursing action would be to discuss the situation with the family.

A Client with End-Stage Cancer Is on a Continuous IV