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Question
A client who is near death is receiving hospice care to manage severe pain. The client is receiving a narcotic pain medication intravenously per a patient-controlled analgesia (PCA) pump. The client is lethargic, is sleeping much of the time, and has not rated their pain recently. What information should the nurse use to make decisions about the care plan? The client: has an IV that has infiltrated, and the analgesic medication has been injected into the subcutaneous tissues and has been absorbed faster than prescribed. received too much medication through an overdose of medication administered through the PCA pump. may be nearing death as specific dosages and time intervals for self-administration of the analgesic are programmed into the PCA pump to prevent overdose. has obtained sufficient pain relief because they have not had pain in the last 12 hours.
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