The situation that would be least helpful to manage pain in the AIDS client who is an injecting drug user is
a. carefully rationing narcotic prescriptions.
b. having multiple practitioners prescribing medications.
c. limiting rescue doses of narcotic analgesics on a monthly basis.
d. refusing to fill lost prescriptions.
B
Helpful guidelines include having a single practitioner prescribe medications. Rationing medica-tions is unethical as clients who are drug addicts still experience pain and need to be treated for it. Rescue pain medications need to be available for breakthrough pain. Clients who frequently "lose" prescriptions can be managed by phoning in prescriptions if the provider is worried about abuse. The major point is that clients deserve to have their pain managed.
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