The health care provider is writing medication orders for a client recovering from spinal fusion surgery. When the client reports pain as a 9 on a scale from 0 to 10, which medications should the nurse consider providing to the client?
1. Oxymorphone (Opana)
2. Hydrocodone (Vicodin)
3. Oxycodone (OxyContin)
4. Morphine sulfate (morphine)
5. Hydromorphone hydrochloride (Dilaudid)
Correct Answer: 1, 3, 4, 5
Rationale 1: Oxymorphone (Opana) is an opioid analgesic for severe pain. Because the client rated the pain as 9, which is severe, this medication is appropriate.
Rationale 2: Hydrocodone (Vicodin) is an opioid analgesic for moderate pain. Considering that the client rates pain as being severe, this medication would not sufficiently control the client's pain.
Rationale 3: Oxymorphone (Opana) is an opioid analgesic for severe pain. Because the client rated the pain as 9, which is severe, this medication is appropriate.
Rationale 4: Morphine sulfate (morphine) is an opioid analgesic for severe pain. Because the client rated the pain as 9, which is severe, this medication is appropriate.
Rationale 5: Hydromorphone hydrochloride (Dilaudid) is an opioid analgesic for severe pain. Because the client rated the pain as 9, which is severe, this medication is appropriate.
You might also like to view...
Florence Nightingale is credited with introducing sweeping changes in the philosophy and practice of nursing, many of which are foundational to the way that nursing is practiced today
Nightingale's reforms focused primarily on what aspects of nursing? A) Pharmacology and adequate documentation B) Hygiene and infection control C) Psychosocial health and spirituality D) Interdisciplinary communication
A patient with rheumatoid arthritis calls the nurse and reports having mild side effects from his medication. The patient also tells the nurse his disease is worse and he is losing some of his ability to function
The nurse schedules an appointment for the patient to see the physician that afternoon. What order might the nurse expect to receive from the physician for this patient? A) Increase the dosage of the medication. B) Arrange for patient to be hospitalized. C) Refer to psychologist for help improving self-image. D) Decrease the dosage of the medication.
Following an angiogram, the nurse will assess and record:
a. allergy to dye. b. range of motion of lower limbs. c. presence and strength of pedal pulses. d. nausea.
Myocarditis is an inflammation of which part of the heart?
a. pericardium c. myocardium b. endocardium d. epicardium