Author Question: After receiving medication for mild pain, the client states that the pain is getting worse. What ... (Read 73 times)

naturalchemist · **on:** Jul 23, 2018

After receiving medication for mild pain, the client states that the pain is getting worse. What should the nurse plan to do for this client?

1. Administer another dose of a nonopioid medication.
2. Administer an opioid for severe pain.
3. Administer an opioid for moderate pain.
4. Administer two doses of an opioid for moderate pain.

Question 2

A client experiencing pain has been prescribed a coanalgesic. The nurse should prepare to administer what medications to the client?

1. Nortriptyline
2. Amitriptyline
3. Tramadol
4. Meloxicam
5. Gabapentin

dyrone · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Because the client's pain is persisting, the next step of the WHO ladder for pain control must be applied.
Rationale 2: The next step of the WHO ladder for pain indicates that an opioid for moderate pain be provided, not an opioid for severe pain.
Rationale 3: If the client has mild pain that persists or increases despite using full doses of step 1 medications, or if the pain is moderate, then a step 2 regimen is appropriate. At the second step, an opioid for moderate pain or a combination of opioid and nonopioid medicine is provided with or without coanalgesic medications.
Rationale 4: The client should not receive two doses of an opioid for moderate pain at one time.

Answer to Question 2

Correct Answer: 1, 2, 5
Rationale 1: Nortriptyline is a tricyclic antidepressant used as a coanalgesic to treat pain.
Rationale 2: Amitriptyline a tricyclic antidepressant used as a coanalgesic to treat pain.
Rationale 3: Tramadol is an opioid analgesic used for moderate pain.
Rationale 4: Meloxicam is a nonopioid analgesic used for mild pain.
Rationale 5: Gabapentin is an anticonvulsant used as a coanalgesic to treat pain.