« previous next »

Author Question: A patient who uses a fentanyl (Duragesic) patch for chronic abdominal pain caused by ovarian cancer ... (Read 38 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?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

Anti-aging claims should not ever be believed. There is no supplement, medication, or any other substance that has been proven to slow or stop the aging process.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Signs and symptoms of a patient with heart failure. Signs and symptoms of a patient with heart failure.
Patient Teaching Patient Teaching
Position of patient to assess jugular vein distention Position of patient to assess jugular vein distention
Possible causes and warning signs of cancer. Possible causes and warning signs of cancer.
A case of breast cancer A case of breast cancer
Video: Transferring genes into plants Animation

For a complete list of videos, visit our video library