When managing a terminally ill client on a morphine drip, what should the nurse do if the spouse requests an increase in the dosage?

In managing a terminally ill client, it is crucial to prioritize the client's comfort and ensure effective pain management, especially when they are on a morphine drip. When a spouse requests an increase in morphine dosage, the appropriate response is to assess the client's pain before making any changes to the medication regimen.

Assessing the client's pain level allows the nurse to determine if there is a legitimate need for an increased dosage. Pain management in terminally ill patients requires a careful balance; while it's important to alleviate suffering, any adjustments to medication should be based on the client's current condition and reported pain rather than solely on the family's request. This ensures that the patient receives appropriate care tailored to their specific needs.

The approach of discussing risks of morphine addiction or checking heart rate may not directly address the immediate concern of managing the client's pain. Morphine, when used for terminally ill patients, is typically administered with the understanding that concerns about addiction are less relevant in this context. Similarly, while monitoring vital signs like heart rate is important, it is not the primary action needed in response to a request for a dosage increase. The focus should remain on the client's pain assessment first, reinforcing the principle of patient-centered care.