Author Question: The nurse working in a pain clinic is caring for a client with chronic pain who has a history of ... (Read 33 times)

lilldybug07 · **on:** Jul 22, 2018

The nurse working in a pain clinic is caring for a client with chronic pain who has a history of gastric bypass and is currently taking an opioid but obtaining inadequate pain relief.

The client is likely to need medication that he can take at home on a long-term basis. The nurse anticipates that which of the following would be most effective for relief of pain for this client? 1. Oramorph SR PO every 8 hours
2. Demerol 50 mg IM every 4 hours
3. Morphine 5 mg per rectum
4. Fentanyl via transdermal patch

Question 2

The nurse is caring for an older adult client who is concerned about her driving. Appropriate responses by the nurse include: (Select all that apply) Standard Text: Select all that apply.

1. Fatty deposits in the brain cause a decrease in cerebral metabolism that slows thought processes
2. Physiologic neurologic changes cause a decrease in motor responses
3. Tasks that require quick response are harder for young adults as well
4. The size and weight of the brain decreases with aging
5. The immune system becomes less effective

aadams68 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale: The fentanyl patch delivers an opioid for up to 72 hours, and is available in different strengths as needed for comfort. This would be an ideal medication for the client in the home who is unable to take PO medication due to gastric bypass surgery, who will likely have absorption problems with PO medications. Teaching the client to self-administer IM injections would be a measure of last resort, because repeated IM injections risks muscle damage. Rectal medications might be the second choice if transdermal patches do not relieve the client's pain.

Answer to Question 2

1,2,4
Rationale: Fatty deposits in the brain are a normal effect of aging on the brain