« previous next »

Author Question: A patient who uses a fentanyl (Duragesic) patch for chronic abdominal pain caused by ovarian cancer ... (Read 63 times)

JMatthes

  • Hero Member
  • *****
  • Posts: 578
on: Jun 25, 2018
A patient who uses a fentanyl (Duragesic) patch for chronic abdominal pain caused by ovarian cancer asks the nurse to administer the prescribed hydrocodone (Vicodin) tablets, but the patient is asleep when the nurse returns with the medication.
 
  Which action is best for the nurse to take?
  a. Wake the patient and administer the hydrocodone.
  b. Wait until the patient wakes up and reassess the pain.
  c. Suggest the use of nondrug therapies for pain relief instead of additional opioids.
  d. Consult with the health care provider about changing the fentanyl (Duragesic) dose.

Question 2

The nurse is completing the medication reconciliation form for a patient admitted with chronic cancer pain. Which medication is of most concern to the nurse?
 
  a. Amitriptyline (Elavil) 50 mg at bedtime
  b. Ibuprofen (Advil) 800 mg 3 times daily
  c. Oxycodone (OxyContin) 80 mg twice daily
  d. Meperidine (Demerol) 25 mg every 4 hours


bitingbit

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Because patients with chronic pain frequently use withdrawal and decreased activity as coping mechanisms for pain, sleep is not an indicator that the patient is pain free. The nurse should wake the patient and administer the hydrocodone.

Answer to Question 2

ANS: D
Meperidine is contraindicated for chronic pain because it forms a metabolite that is neurotoxic and can cause seizures when used for prolonged periods. The ibuprofen, amitriptyline, and oxycodone are all appropriate medications for long-term pain management.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

JMatthes

  • Hero Member
  • *****
  • Posts: 578
Reply #2 on: Jun 25, 2018
Thank you


bitingbit

  • Sr. Member
  • ****
  • Posts: 323
Reply #3 on: Jun 25, 2018
No problemo


« previous next »
 

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

Did you know?

It is difficult to obtain enough calcium without consuming milk or other dairy foods.

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

On average, someone in the United States has a stroke about every 40 seconds. This is about 795,000 people per year.

CXR of lung cancer with right phrenic nerve paralysis CXR of lung cancer with right phrenic nerve paralysis
Breast cancer. Notice the tumor growing within a lactiferous gland, which occurs in infiltrating duc Breast cancer. Notice the tumor growing within a lactiferous gland, which occurs in infiltrating duc
Calipers are used to measure the body fat on the triceps of a patient. Calipers are used to measure the body fat on the triceps of a patient.
Develop a Patient Teaching Handout About Stress Develop a Patient Teaching Handout About Stress
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient. (a) Chicken pox vesicles. (b) Chicken pox on back of young patient.
Physiology of pain perception Physiology of pain perception
Video: Exercise and cardiac output

For a complete list of videos, visit our video library