Author Question: The nurse is caring for a postpartum woman who is refusing opioid analgesics but is rating her pain ... (Read 72 times)

s.tung · **on:** Jul 23, 2018

The nurse is caring for a postpartum woman who is refusing opioid analgesics but is rating her pain as a 7 or 8 on a 10-point pain scale. The nurse will contact the provider to request an order for which analgesic medication?

a. Diclofenac sodium (Voltaren)
b. Ketoprofen (Orudis)
c. Ketorolac (Toradol)
d. Naproxyn (Naprosyn)

Question 2

A patient who has osteoarthritis with mild to moderate pain asks the nurse about taking over-the-counter ibuprofen (Motrin). What will the nurse tell this patient?

a. It may take several weeks to achieve therapeutic effects.
b. Unlike aspirin, there is no increased risk of bleeding with ibuprofen.
c. Take ibuprofen twice daily for maximum analgesic benefit.
d. Combine ibuprofen with acetaminophen for best effect.

leahm14 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Ketorolac is the first injectable NSAID and has shown analgesic efficacy equal or superior to that of opioid analgesics. The other NSAIDs listed are not used for postoperative pain.

Answer to Question 2

ANS: A
OTC NSAIDs can be effective for mild to moderate arthritis pain, but the effects may not appear for several weeks. NSAIDs carry a risk for bleeding. Ibuprofen is taken every 4 hours or QID. Ibuprofen should not be combined with aspirin or acetaminophen.