This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: An elderly patient weighing 119 pounds reports having back pain for 3 months and taking only ... (Read 77 times)

s.tung

  • Hero Member
  • *****
  • Posts: 577
on: Jul 23, 2018
An elderly patient weighing 119 pounds reports having back pain for 3 months and taking only nonsteroidal anti-inflammatory agents to alleviate the pain. The nurse anticipates the administration of which medication to address the patient's chronic pain?
 
  a. Fentanyl (Duragesic) 25 mcg
  b. Hydrocodone (Vicodin) 60 mg
  c. Tramadol (Ultram) 50 mg
  d. Morphine sulfate 10 mg

Question 2

A nurse is providing patient education for a patient scheduled for an endoscopic procedure.
 
  The patient is a little anxious and says she is unclear about the sedation that will be used, even after the anesthesiologist explained procedural sedation. The nurse clarifies that during most endoscopic procedures, which of the following drugs is used for this type of sedation?
  a. Ketamine (Ketalar)
  b. Thiopental (Pentothal)
  c. Midazolam (Versed)
  d. Etomidate (Amidate)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

xoxo123

  • Sr. Member
  • ****
  • Posts: 335
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Duragesic would be used to address the patient's chronic pain, and the dose is appropriate for the patient's weight and age.
Hydrocodone is indicated for acute moderate to severe pain, not for the chronic pain reported by this patient.
Ultram is indicated for short-term therapy for acute pain.
Morphine sulfate is indicated for acute moderate to severe pain and would not be used for chronic pain; nor would it be used in an elderly patient because of its respiratory depressive effect.

Answer to Question 2

ANS: C
Midazolam may be used for conscious sedation when used with an opioid analgesic and is suitable for minor surgeries and endoscopic procedures.
Ketamine, thiopental, and etomidate are not used for procedural sedation.


s.tung

  • Hero Member
  • *****
  • Posts: 577
Reply #2 on: Jul 23, 2018
Thanks


xoxo123

  • Sr. Member
  • ****
  • Posts: 335
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

Nitroglycerin is used to alleviate various heart-related conditions, and it is also the chief component of dynamite (but mixed in a solid clay base to stabilize it).

Did you know?

The top 10 most important tips that will help you grow old gracefully include (1) quit smoking, (2) keep your weight down, (3) take supplements, (4) skip a meal each day or fast 1 day per week, (5) get a pet, (6) get medical help for chronic pain, (7) walk regularly, (8) reduce arguments, (9) put live plants in your living space, and (10) do some weight training.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Palpating the Apical Impulse with the Patient on the Left Side Palpating the Apical Impulse with the Patient on the Left Side
Otitis media. This illustration shows an inflamed tympanic cavity, which is the most common source o Otitis media. This illustration shows an inflamed tympanic cavity, which is the most common source o
Neural pathways for pain Neural pathways for pain
A patient centered care approach A patient centered care approach
A histologic slide showing the sponge-like architecture of a patient with Creutzfeldt-Jakob Disease. A histologic slide showing the sponge-like architecture of a patient with Creutzfeldt-Jakob Disease.
Video: Hormonal regulation of pregnancy - weeks 2 through 38

For a complete list of videos, visit our video library