According to the World Health Organization Three-Step Approach, ...

[mckennatimberlake]

According to the World Health Organization Three-Step Approach, if the nurse is caring for a client complaining of mild pain that persists after using full doses of step 1 medications, which medications can the nurse administer?
 
  Select all that apply.
  1. Codeine
  2. Fentanyl
  3. Oxycodone with acetaminophen
  4. Hydrocodone with ibuprofen
  5. Morphine

Question 2

After administering an opioid analgesic, the nurse assesses the client using the sedation scale and finds the client sleeping and arousable, but the client drifts off to sleep during conversation.
 
  Which level of sedation is appropriate for the nurse to document for this client in the medical record?
  1. 1
  2. 2
  3. 3
  4. 4

[k.lashomb]

Answer to Question 1

Correct Answer: 1,3,4

For mild pain, a nonopioid analgesic is the appropriate starting point. If the pain persists or the pain is moderate, the second step is a weak opioid, or a combination of opioid and nonopioid medicine can be used. If moderate pain persists or the pain is severe, stronger opiates are provided.

Answer to Question 2

Correct Answer: 3

Level 3 is frequently drowsy, arousable, and drifts off to sleep during conversation. Level 1 is awake and alert, level 2 is slightly drowsy but arousable, and level 4 is somnolent, minimal-to-no response to physical stimulation.