A client has not been able to receive adequate pain control with several different medications that have been administered and is experiencing severe pain. What route of administration might be tried at this time?
A) Intraspinal
B) Intravenous
C) Rectal
D) Transdermal
Ans: A
Feedback:
The administration of drugs into or around the spinal cord via the epidural or intrathecal route—known as the intraspinal route—is reserved for those clients who cannot achieve pain control in any other manner. Some medications are available in suppository form, and the rectal route may be useful when the client can no longer swallow or has problems with nausea and vomiting. Medications such as the fentanyl patch require placement on the skin of the upper body every 72 hours for relief of pain and operate through the transdermal route. The intravenous and subcutaneous routes are useful when the client is unable to swallow.
You might also like to view...
The nurse is caring for a female age 45 years who discloses during the admission nursing history that she is no longer able to enjoy sex with her husband because it causes too much pain in her vagina
The nurse includes which of the following nursing diagnoses in the client's care plan related to this information? A) Sexual Dysfunction: Dyspareunia B) Altered Sexuality Patterns: Change in sexual expression C) Altered Sexuality Patterns: Loss of desire D) Altered Sexuality Patterns: Change in positioning
A client's medical record reveals presence of an erythematous urticaric rash with pruritus. What assessment findings would the nurse expect?
1. The area of the rash is red. 2. The area has a raised, bumpy texture. 3. The area involved is warm to the touch. 4. The area itches. 5. The area is scaly.
The nurse is trying to deescalate aggressive behavior exhibited by a client with schizophrenia. Which nursing action would be contraindicated in this situation?
A. Being assertive with the client B. Negotiating options with the client C. Maintaining a nonaggressive posture D. Standing close to the client and telling the client that the behavior is unacceptable
The nurse is caring for a critically ill elderly patient. The patient is confused and agitated. The family states that the patient had not exhibited confusion at home. What is the most important nursing action?
A) Apply restraints to prevent patient injury. B) Sedate the patient to prevent injury. C) Assess vital signs and laboratory results for abnormal values. D) Apply oxygen by nonrebreather mask at 10 L/min.