The nurse cares for a hospice client who reports pain from nerve damage related to diabetic neuropathy. She rates the pain at 9 out of 10. Which medication should she expect the physician to order for this client?

A) Antidepressant
B) Muscle relaxant
C) Low doses of opioid
D) High doses of opioid


Ans: D
Feedback:
The client has neuropathic pain; mild pain (1–3 on the 0–10 scale) requires the use of adjuvant drugs (nonopioid medications such as antidepressants and muscle relaxants). Moderate pain (4–6 on the pain scale) necessitates the use of low doses of opioids; the use of nonopioids and adjuvants may continue. Severe pain (7–10) requires the use of higher opioid doses.

Nursing

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