A patient is experiencing moderate to severe pain. Which medication from the list below would the nurse anticipate the doctor ordering based on the pain level?
Acetaminophen
Morphine
Allopurinol
Toradol
The Correct Answer is B
A. Acetaminophen: Acetaminophen is an over-the-counter analgesic suitable for mild pain. It is not potent enough to manage moderate to severe pain effectively, especially when rapid or strong relief is needed.
B. Morphine: Morphine is a strong opioid analgesic used for moderate to severe pain. It acts on central opioid receptors to provide potent pain relief and is appropriate when non-opioid medications are insufficient.
C. Allopurinol: Allopurinol is used to prevent gout attacks by lowering uric acid levels. It has no analgesic effect for acute pain management and is not indicated for immediate pain relief.
D. Toradol: Toradol (ketorolac) is a nonsteroidal anti-inflammatory drug (NSAID) effective for short-term moderate pain. However, it is less potent than morphine for severe pain and is limited by duration of use and risk of bleeding or renal issues.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A.Covering up a medication error prevents timely assessment and intervention, which can place the client at significant risk for harm. Ethical nursing practice requires honesty and accountability to ensure patient safety and quality care. Failure to report also violates professional standards and legal obligations.
B.Shifting blame to the pharmacy does not address the immediate safety needs of the client or allow for appropriate clinical follow-up. Medication administration is a shared safety process, and the nurse remains responsible for reporting errors regardless of their source. Effective error management focuses on correction, not fault.
C.Delaying action until the end of the shift increases the risk of adverse outcomes if the client experiences a reaction or complication. Prompt reporting allows for early monitoring, treatment, and prevention of further harm. Timeliness is a key component of safe medication practices.
D.Notifying the healthcare provider ensures the client is assessed and managed appropriately after the error. Accurate documentation supports continuity of care, legal protection, and system improvement efforts. Reporting errors also contributes to identifying patterns and preventing future medication errors.
Correct Answer is B
Explanation
A. Acetaminophen:Acetaminophen is an over-the-counter analgesic suitable for mild pain. It is not potent enough to manage moderate to severe pain effectively, especially when rapid or strong relief is needed.
B. Morphine:Morphine is a strong opioid analgesic used for moderate to severe pain. It acts on central opioid receptors to provide potent pain relief and is appropriate when non-opioid medications are insufficient.
C. Allopurinol:Allopurinol is used to prevent gout attacks by lowering uric acid levels. It has no analgesic effect for acute pain management and is not indicated for immediate pain relief.
D. Toradol:Toradol (ketorolac) is a nonsteroidal anti-inflammatory drug (NSAID) effective for short-term moderate pain. However, it is less potent than morphine for severe pain and is limited by duration of use and risk of bleeding or renal issues.
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