The nurse is reviewing the admission orders for an 86-year-old client who is being admitted for pneumonia. The client has chronic pain caused by arthritis and the diagnosis of uterine cancer.
The physician has ordered oral long-acting narcotic medication every 4 hours as needed. In administering this medication the nurse would
A) administer the medication sparingly to avoid narcotic addiction.
B) administer the medication when the client requests.
C) consulting the physician to order intravenous pain medication.
D) administer the prn medication around the clock.
Question 2
An 82-year-old client is brought to the emergency department with complaints of headache, dizziness, and ataxia. On review of the client's medication, you note that the client is taking Propoxyphene for arthritic pain and occasional headaches.
The nurse would consider this drug to
A) not contribute to the client's symptoms.
B) be more effective in treating the client's pain than aspirin or acetaminophen.
C) be less effective in older clients for pain relief.
D) cause toxic side effects similar to the client's symptoms and should not be taken by the elderly.
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