
(1)
To determine:
The type of medication that relieves the metastasis of bone pain in this case and the rationale of this medication.
Case summary:
Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5-mg tablet of oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.
(2)
To determine:
What happened to Mrs.D after one week and what should Mr.D do about it.
Case summary:
Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.
(3)
To determine:
How the problem can be prevented in the future.
Case summary:
Mrs.D is 48 years old. Four years ago, she underwent bilateral mastectomy and had lymph node condition during surgery. Recently, she has been diagnosed with metastasis to the bone. She has been taking one 5 mg of tablet oxycodone for every 6 hours. However, she is not sleeping well and complaining of increasing pain to the point that her quality of life has decreased considerably. During the terminal condition of illness, she desires to stay at home and has requested for adequate and safe pain control.

Want to see the full answer?
Check out a sample textbook solution
Chapter 10 Solutions
Pharmacology and the Nursing Process, 8e
- • Define shock and list types of shock • Discuss pathogenesis of septic shock. • Enumerate the stages of shock. • Define oedema and describe the pathophysiologic mechanisms of oedema with examples.arrow_forwardDiscuss Hypertension under the following headings: Definition Diagnosis Non-pharmacological intervention Drugs Classification Management of a Hypertensive emergencyarrow_forwardExplain how the answer could be 2 or 1.8 WITHOUT changing the questionarrow_forward
- overview of the neurological system, cranial nerves and what part of the body it innervatesarrow_forwarddifferentiate structure and function of the peripheral vascular system. what are the normal and abnormal findings of the peripheral arterioles and peripheral venous systemarrow_forwardAn overview of the skin, hair and nails epidermal appendages normal and abnormal findingsarrow_forward
- differentiate the twelve cranial nerves and how to test themarrow_forwardWhat are the nursing interventions for patients with GI problems ? What is the priority ?arrow_forwardAdult Nutrition Assessment Date of consultation: 3/2/25 Reason for Nutrition Assessment: Mrs. Clover was referred to the RD from the ER physician; patient experiencing weight loss, SOB & Edema Nutrition Assessment Data 69 YOF Ht 157 cm, Wt 53 kg. BMI 21.7 Usual wt 55 kg Heart: slight physiologic murmur; lungs: clear; extremities: 3+ edema to bilateral lower legs; elevated BP, abdomen: soft, nontender, active bowel sounds; neurologic: unremarkable; skin: diminished skin tugor. Biochemical Data BUN 72, Creatinine 4.6, Calcium 7.2, Phosphorus 7.3, glucose 105, BNP 720, Albumin 2.0, Na 125, K 3.3, CI 93. Hgb 11.5, Hct 33.2, ALT 29, AST 36, Alkaline phosphatase 120, other relevant labs pending result. Medications Include inhalers, Cymbalta, Neurontin, Seroquel, and topiramate, prilosec, solumedrol, rocephin, zithromax, NaCl 0.45%+50 MEQ sodium bicarbonate @100 ml/hr. No history of herbal supplements. Since her pneumonia diagnosis several days ago, she has felt too weak to prepare meals, she…arrow_forward
- Assuming you are a community health nurse, choose a community of your own and perform practically the following and report your findings: a. Community Assessment b. Community Diagnosisarrow_forwardDescribe practically how you would use a standing order in the diagnosis and treatment of a 10-year-old primary school pupil with a complaint of haematuria at the end of the urine.arrow_forwardSimple explanations, please. B. Why is an accurate diagnosis of malnutrition important? H. Is BMI a food indicator of malnutrition? I. Can an overweight/obese patient develop malnutrition? Why or why not?arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning





