Author Question: An older client with mild musculoskeletal pain is being seen by the primary care provider. The nurse ... (Read 35 times)

MirandaLo · **on:** Jul 23, 2018

An older client with mild musculoskeletal pain is being seen by the primary care provider. The nurse anticipates that treatment of this client's level of discomfort will include:

1. Fentanyl
2. Diazepam
3. Acetaminophen
4. Meperidine hydrochloride

Question 2

When a client's husband questions how a patient-controlled analgesia (PCA) pump works, the nurse explains that the client:

1. Has control over the frequency of the intravenous (IV) analgesia
2. Can choose the dosage of the drug received
3. May request the type of medication received
4. Controls the route for administering the medication

cswans24 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
A nonopioid analgesic, such as acetaminophen, is used to effectively treat mild musculoskeletal pain. Fentanyl is about 100 times more potent than morphine. It is typically used for cancer pain, not mild musculoskeletal pain. Diazepam is given as an antianxiety agent. Meperidine hydrochlo-ride is an opioid analgesic used to treat moderate to severe acute pain, not mild pain.

Answer to Question 2

ANS: 1
With a PCA system the client controls medication delivery. The PCA system is designed to de-liver no more than a specified number of doses. The client does not choose the dosage. The health care provider prescribes the type of medication to be used. The advantage for the client is that he or she may self-administer opioids with minimal risk for overdose. The client does not control the route for administration. Systemic PCA typically involves IV drug administration but can also be given subcutaneously.