A nurse is caring for a client receiving home hospice for me…

A nurse is caring for a client receiving home hospice for metastatic Bone Cancer involving the spine and pelvis. The client reports constant pain rated 8/10 despite taking extended-release morphine every 12 hours. The client states, “I only take the breakthrough dose when the pain becomes unbearable because I don’t want to become addicted.” Respiratory rate is 18/min. The client is alert and oriented. Which of the following actions should the nurse take?

A 68-year-old client with a history of chronic kidney diseas…

A 68-year-old client with a history of chronic kidney disease (stage 3), hypertension, and osteoarthritis is postoperative day 1 following a total hip arthroplasty. Current prescriptions include: Morphine PCA Ketorolac IV every 6 hours Acetaminophen 1,000 mg every 6 hours Gabapentin 300 mg three times daily Assessment findings: Pain rated 7/10 Blood pressure 148/86 mmHg Respiratory rate 14/min Urine output 20 mL/hr over the last 3 hours Creatinine increased from 1.4 mg/dL pre-op to 2.1 mg/dL Drowsy but arousable Which action by the nurse is most appropriate?

A client with schizophrenia is voluntarily admitted and refu…

A client with schizophrenia is voluntarily admitted and refuses prescribed antipsychotic medication, stating, “The voices are part of who I am.” The client is calm, not aggressive, and denies suicidal or homicidal ideation. What is the nurse’s best action?

A nurse working on an acute inpatient psychiatric unit is as…

A nurse working on an acute inpatient psychiatric unit is assigning limited one-to-one observation staff for the shift. There are three clients requesting additional attention: A client with schizophrenia who is pacing and responding to internal stimuli A client with major depressive disorder who reports passive thoughts of hopelessness A client with borderline personality disorder who frequently requests staff interaction but denies suicidal ideation Which action by the nurse best demonstrates the ethical principle of justice?