Which analgesic is preferred for initial treatment of mild pain in the geriatric population?
Morphine
Acetaminophen
Ibuprofen
Oxycodone
The Correct Answer is B
A. Morphine: Morphine is a potent opioid analgesic indicated for moderate to severe pain. In older adults, opioids carry increased risks of sedation, respiratory depression, constipation, delirium, and falls due to altered pharmacokinetics and pharmacodynamics. For mild pain, the risks generally outweigh the benefits as first-line therapy.
B. Acetaminophen: Acetaminophen is considered first-line therapy for mild pain in geriatric clients due to its favorable safety profile when used within recommended dosing limits. It lacks the gastrointestinal bleeding risk associated with NSAIDs and does not cause central nervous system depression like opioids.
C. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation, ulceration, renal impairment, and increased cardiovascular risk. Older adults are particularly susceptible to these adverse effects due to age-related declines in renal function and gastric mucosal protection.
D. Oxycodone: Oxycodone is an opioid analgesic used for moderate to severe pain and carries similar risks to morphine in elderly clients. Adverse effects such as sedation, constipation, respiratory depression, and increased fall risk are significant concerns. It is not recommended as initial treatment for mild pain in geriatric patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client reports dry mouth and mild insomnia: These are common, mild side effects of selective serotonin reuptake inhibitors (SSRIs) like fluoxetine. They are generally self-limiting and manageable with supportive care or lifestyle modifications.
B. The client reports new-onset agitation and thoughts of self-harm: New or worsening suicidal ideation, particularly during the first few weeks of SSRI therapy, is a critical safety concern. Increased energy from improved depressive symptoms can sometimes enable clients to act on existing suicidal thoughts. Immediate reporting to the provider is essential for risk assessment and intervention.
C. The client reports improved energy and appetite: These findings indicate therapeutic improvement and response to treatment. They do not represent an adverse event and would not require urgent intervention.
D. The client reports nausea and headache during the first week: Mild gastrointestinal or neurological side effects are common early in SSRI therapy. These symptoms typically resolve within days to weeks and are monitored but do not necessitate immediate reporting unless they worsen significantly.
Correct Answer is ["2"]
Explanation
Identify the ordered dose and tablet strength
Ordered Dose: 650 mg
Tablet Strength: 325 mg per tablet
Calculate the number of tablets to administer
Number of Tablets = Ordered Dose ÷ Tablet Strength
Number of Tablets = 650 ÷ 325
= 2
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