« previous next »

Author Question: A patient who uses a fentanyl (Duragesic) patch for chronic abdominal pain caused by ovarian cancer ... (Read 78 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 use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Divisions of the Abdominal Area Divisions of the Abdominal Area
The effectiveness of patient education The effectiveness of patient education
Patient Information Supplied When Scheduling Hospital Admissions Patient Information Supplied When Scheduling Hospital Admissions
Positioning the Patient in the Prone Position Positioning the Patient in the Prone Position
Hormonal changes during the ovarian and uterine cycles. Hormonal changes during the ovarian and uterine cycles.
Video: How do the different types of chromatography work? (No Audio)

For a complete list of videos, visit our video library