The nurse is reviewing pain medications prescribed for an older client. Which medications should the nurse question before administering? (Select all that apply.)
1. Nalbuphine (Nubain)
2. Meperidine (Demerol)
3. Acetaminophen (Tylenol)
4. Propoxyphene (Darvocet)
5. Buprenorphine (Buprenex)
Answer: 2, 4
1. Nalbuphine (Nubain) is used for moderate to severe pain and is not contraindicated for an older client.
2. Meperidine (Demerol) produces toxic metabolites with long half-lives, leading to toxicity in an older client.
3. Acetaminophen (Tylenol) is used for mild pain and is not contraindicated for an older client.
4. Propoxyphene (Darvocet) produces toxic metabolites with long half-lives, leading to toxicity in an older client.
5. Buprenorphine (Buprenex) is used for moderate to severe pain and is not contraindicated for an older client.
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