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46. A patient with a primary diagnosis of lung cancer developed bone metastes in recent months...

46. A patient with a primary diagnosis of lung cancer developed bone metastes in recent months and experienced excruciating pain. As a result, the patient was treated with a combination of continuous-release and immediate-release morphine delivered by the oral route. Since yesterday, the patient has experienced a decreased level of consciousness and has become unable to swallow. How should the nurse best manage this patient's analgesia?

A. Opiods should be discontinued because of the patient's decreased level of consciousness.

B. The patient should recieve similar doses of morphine by alternative routes.

C. The patient's morphine should be reduced and a nonsteroidal anti-inflammatory (NSAID) introduced.

D. Analgesia should be discontinued because the patient's decreased level of consciousness indicates that his pain has subsided.

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C. The patient's morphine should be reduced and a nonsteroidal anti-inflammatory (NSAID) introduced.

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