A client in hospice care has received large doses of morphine but is still unable to sleep. The nurse should administer which adjuvant drug?

1. Lisinopril (Zestril)
2. Acetaminophen (Tylenol)
3. Meperidine (Demerol)
4. Amitriptyline (Elavil)


Answer: 4

1. In cases of chronic pain and cancer, the use of antidepressants, such as Elavil, some anticonvulsants, corticosteroids, and psychostimulants have been found to provide analgesia. Lisinopril (Zestril) is not an adjuvant medication for pain.
2. In cases of chronic pain and cancer, the use of antidepressants, such as Elavil, some anticonvulsants, corticosteroids, and psychostimulants have been found to provide analgesia. Acetaminophen (Tylenol) is considered an NSAID for pain control.
3. In cases of chronic pain and cancer, the use of antidepressants, such as Elavil, some anticonvulsants, corticosteroids, and psychostimulants have been found to provide analgesia. Meperidine (Demerol) is in opioid medication used for pain control.
4. In cases of chronic pain and cancer, the use of antidepressants, such as Elavil, some anticonvulsants, corticosteroids, and psychostimulants have been found to provide analgesia.

Nursing

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