Author Question: A client in hospice care has received large doses of morphine but is still unable to sleep. The ... (Read 85 times)

Mr3Hunna · **on:** Jun 25, 2018

A client in hospice care has received large doses of morphine but is still unable to sleep. The nurse should administer which adjuvant drug?

1. Lisinopril (Zestril)
2. Acetaminophen (Tylenol)
3. Meperidine (Demerol)
4. Amitriptyline (Elavil)

Question 2

The nurse should assess for which side effect when clients are receiving nonsteroidal anti-inflammatory drugs (NSAIDs) for pain?

1. Confusion and memory loss
2. Tarry black stools and epigastric pain
3. Diarrhea and vomiting
4. Vertigo and syncope

Viet Thy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 4

1. In cases of chronic pain and cancer, the use of antidepressants, such as Elavil, some anticonvulsants, corticosteroids, and psychostimulants have been found to provide analgesia. Lisinopril (Zestril) is not an adjuvant medication for pain.
2. In cases of chronic pain and cancer, the use of antidepressants, such as Elavil, some anticonvulsants, corticosteroids, and psychostimulants have been found to provide analgesia. Acetaminophen (Tylenol) is considered an NSAID for pain control.
3. In cases of chronic pain and cancer, the use of antidepressants, such as Elavil, some anticonvulsants, corticosteroids, and psychostimulants have been found to provide analgesia. Meperidine (Demerol) is in opioid medication used for pain control.
4. In cases of chronic pain and cancer, the use of antidepressants, such as Elavil, some anticonvulsants, corticosteroids, and psychostimulants have been found to provide analgesia.

Answer to Question 2

Answer: 2

1. NSAIDs block the action of protective prostaglandins in the stomach and cause GI irritation and bleeding. They do not cause confusion and memory loss.
2. NSAIDs block the action of protective prostaglandins in the stomach and cause GI irritation and bleeding.
3. NSAIDs block the action of protective prostaglandins in the stomach and cause GI irritation and bleeding. Diarrhea and vomiting are not adverse effects of NSAIDs.
4. NSAIDs block the action of protective prostaglandins in the stomach and cause GI irritation and bleeding. Vertigo and syncope are not adverse effects of NSAIDs.