Which pain medication may be administered to the patient as needed?
Fentanyl transdermal patch 25 mcg every 3 days
Acetaminophen with oxycodone 10 mg/325 mg PO every 6 hours
Morphine extended-release 60 mg PO every 12 hours
Ketorolac 10 mg IV every 4 hours as needed
The Correct Answer is D
Choice A reason: Fentanyl patches provide continuous opioid delivery for 72 hours; their fixed schedule isn’t “as needed,” making them unsuitable for acute, variable pain management.
Choice B reason: Acetaminophen with oxycodone is scheduled every 6 hours; this fixed interval lacks the flexibility of “as needed,” limiting its use for breakthrough pain relief.
Choice C reason: Morphine extended-release is designed for sustained release over 12 hours; its fixed dosing isn’t “as needed,” restricting its role to chronic, not acute, pain control.
Choice D reason: Ketorolac IV every 4 hours prn allows flexible dosing; this NSAID targets inflammation and pain acutely, ideal for as-needed administration within safe limits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A reason: Half a tablet (10 mg) underdoses; expired drugs may degrade, and 40 mg is needed for diuresis, risking therapeutic failure in this scenario.
Choice B reason: Two tablets (40 mg) meet the dose but are expired; potency loss post-April 2013 risks inefficacy or toxicity, compromising patient safety.
Choice C reason: Seeking 40-mg tablets ignores expiration; even if available, current stock is outdated, and fresh supply is still required for reliable effect.
Choice D reason: Expired drugs (April 2013) lose potency; a new bottle ensures 40 mg of active furosemide, maintaining efficacy and safety for hypertension or edema.
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