[Solved]: Ms

Ms. Timms (she/her) is hospitalized with severe abdominal and right shoulder pain related to metastatic pancreatic cancer. You are the nurse caring for her today and you do a comprehensive pain assessment. You learn that her pain is a 10 on a 0 to 10 scale, the pain in her shoulder is sharp and stabbing, and the pain in her abdomen is aching and is an 8. Nothing makes it better, but movement makes it worse. She has been unable to comfortably get out of bed or sit in a chair. She tells you that she is scared that the increasing pain means she is “getting worse.” Her pain regimen is morphine sulfate extended-release 30 mg orally every 8 hours with 10 mg oral morphine sulfate immediate release for breakthrough pain every 2 hours as needed (PRN). You review her medications and see that the last time she had any PRN pain medication was 16 hours ago. What is your priority action? Contact the provider to get her dose of morphine sulfate extended-release increased. Discuss why she thinks she is getting worse. Instruct her in the use of guided imagery to alleviate the pain. Administer her breakthrough pain medication now.