E. PALLIATIVE CARE CONSIDERATIONS

159. While caring for a terminally ill patient who is receiving high doses of opioids, you notice nocturnal myoclonus. Which of the following constitutes an appropriate therapeutic intervention?

  1. Rotate to another opioid.
  2. The opioid dose should be reduced.
  3. Naloxone should be given to reverse the opioid effect.
  4. Change the opioid, reduce the dose, and add a benzodiazepine.

160. A patient asks you to explain what palliative care means. You explain that:

  1. Palliative care is focused only on physical symptoms of patients.
  2. Palliative care is focused only on psychosocial symptoms of patients.
  3. Palliative care is focused on improving quality of life for both the patient and the family, with a focus on both physical and ...

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