Which of the following drug orders will provide the fastest pain relief for the patient?
Fentanyl transdermal 25 mcg/hour
Morphine 30 mg
Acetaminophen with oxycodone 10 mg/325 mg
Hydromorphone 1 mg IV
The Correct Answer is D
Choice A reason: Fentanyl transdermal releases slowly over hours; its onset of 12-24 hours is too delayed for rapid pain relief, suiting chronic, not acute, pain management.
Choice B reason: Oral morphine (assuming PO) takes 30-60 minutes for onset; its slower absorption via the gut delays relief compared to faster intravenous routes.
Choice C reason: Acetaminophen with oxycodone (PO) has a 30-60 minute onset; gastrointestinal absorption limits speed, making it less rapid than IV administration for acute pain.
Choice D reason: Hydromorphone IV acts within 5-10 minutes; direct bloodstream delivery bypasses digestion, providing the fastest opioid receptor activation for immediate pain relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Positioning the tablet next to the cheek alters absorption and delays onset. Sublingual placement ensures rapid effect.
Choice B reason: Swallowing bypasses sublingual absorption, reducing efficacy. The route is critical for desired therapeutic outcomes.
Choice C reason: Crushing and dissolving disrupts integrity, compromising rapid sublingual absorption. Proper administration maintains efficacy.
Choice D reason: Sublingual placement allows rapid dissolution and absorption via mucous membranes, ensuring swift therapeutic action.
Correct Answer is A
Explanation
Choice A reason: Herbal remedies lack FDA safety data; in pregnancy, untested substances risk fetal harm (e.g., teratogenicity), making this a critical caution.
Choice B reason: Claiming safety is false; many herbs (e.g., St. John’s Wort) affect pregnancy adversely, and without evidence, this misleads the patient dangerously.
Choice C reason: Consistency isn’t required; herbal products vary widely in potency, and this false assurance ignores regulatory gaps in supplement standardization.
Choice D reason: Labels help, but warnings are inconsistent; this shifts responsibility without addressing the lack of proven safety, a more pressing prenatal concern.
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