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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Recording at shift’s end risks memory errors or omissions; delayed documentation compromises accuracy and legal accountability for controlled substances and patient care.

Choice B reason: Pharmacy technicians don’t administer drugs; nurses document their own actions, ensuring responsibility and precision in the medication administration record.

Choice C reason: Immediate recording post-administration ensures accuracy, timeliness, and compliance with standards; it reflects real-time events, reducing errors in patient care documentation.

Choice D reason: Recording others’ actions is inaccurate and unethical; nurses must document only their administrations, maintaining individual accountability and patient safety.

A. Dissolving it in juice. B. Mixing it in applesauce or soft food. C. Adding it to water. D. Sprinkling it on meat or vegetables.

Correct Answer is B

Explanation

Choice A reason: Juice may alter absorption; liquid can dilute or degrade some drugs, and taste may deter intake, reducing effectiveness compared to soft food.

Choice B reason: Applesauce masks taste and aids swallowing; it ensures crushed medication is consumed fully, maintaining dose integrity without altering pharmacokinetics significantly.

Choice C reason: Water may not mask bitterness; some drugs dissolve poorly or lose potency, and patients may not finish it, risking incomplete dosing.

Choice D reason: Meat or vegetables may bind drugs; uneven distribution or strong flavors could reduce intake, compromising the full therapeutic dose delivery.

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Which of the following drug orders will provide the fastest pain relief for the patient?

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Naxlex Comprehensive Predictor Exams

Which of these is the correct way for a nurse to document medication administration?

Correct Answer is C

Explanation

The nurse is going to administer a medication that must be crushed for the patient to take it. This medication is best given to the patient by:

Correct Answer is B

Explanation

When categorizing medications, drug classifications may be defined by the effects of the drug and:

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