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A 45-year-old recovering heroin abuser is status post lumbar fusion and is admitted to the intensive care unit for pain management isses related to a diagnosis of degenerative disk disease and associated peripheral neuropathy. The client who is currently prescribed oxycodone/paracetamol 5 mg/325 mg two tablets every 4 hours around the clock, gabapentin 300 mg four times per day methadone 10 mg twice daily. The client is awake alert, and oriented X4 with stable vitals is able to move lower extremities bilaterally, but reports decreased sensations in feet bilaterally and reporting incisional pain as a 10 of 10 on the Numeric Rating Scale (NRS)

Select the medication that can be appropriately prescribed and administered to help address the client's addiction maintenance, and postoperative pain.

A.

Oxycodone paracetamol

B.

Hydromorphone

C.

Methadone

D.

Morphine

E.

Gabapentin

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"}}

  1. Postoperative Pain Methadone
  2. Postoperative Pain Gabapentin
  3. Postoperative Pain Hydromorphone
  4. Postoperative Pain Morphine


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Related Questions

Correct Answer is C

Explanation

A. Administering aspirin is incorrect because aspirin is ineffective in reducing core temperature in heat stroke and can increase the risk of bleeding.
B. Providing oral fluids is incorrect because the patient is confused and at risk for aspiration; IV fluids are preferred.
C. Applying a cooling blanket is correct because this patient is experiencing heat stroke, and rapid cooling is essential to prevent organ damage. Cooling blankets, ice packs, and immersion in cool water are key interventions.
D. Giving salt tablets is incorrect as rapid sodium replacement can cause fluid shifts and worsen the condition; IV fluids are preferred.

Correct Answer is A

Explanation

A. 2g is correct because for patients with liver dysfunction, the maximum recommended dose of acetaminophen is reduced to 2 grams per day to prevent hepatotoxicity.
B. 500 mg is incorrect because while lower doses may be given at a time, the total daily limit for liver-compromised patients is higher than 500 mg.
C. 4g is incorrect as this is the maximum dose for healthy adults with normal liver function, but it is too high for those with liver disease.
D. 1g is incorrect because while it is a single-dose limit, the daily maximum for patients with liver dysfunction is 2g, not 1g.

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