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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Pharmacy technicians are not authorized to administer medications. Their scope involves preparation and dispensing under supervision, ensuring safety and compliance.

Choice B reason: Safe practice standards dictate that the preparing nurse administers the medications to ensure accuracy and accountability, minimizing potential errors.

Choice C reason: Delegating to the head nurse violates medication administration protocols, as accountability rests with the nurse who prepared the medications.

Choice D reason: Allowing other licensed nurses to distribute medications increases the risk of errors due to lack of firsthand knowledge of preparation specifics.

A. Trade B. Generic C. Chemical D. Proprietary

Correct Answer is B

Explanation

Choice A reason: Trade names are brand-specific; insurance denial of the brand rules this out, as it’s the costly formulation they won’t cover for the patient.

Choice B reason: Generic drugs, bioequivalent to brands, cost less; insurance favors them, ensuring the same active ingredient and efficacy at a lower price point.

Choice C reason: Chemical names describe molecular structure, not a formulation; they’re not dispensed as drugs, making this irrelevant to insurance or pharmacy.

Choice D reason: Proprietary is synonymous with brand; if insurance denies the brand, this option is also excluded, leaving generic as the viable substitute.

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Which pain medication may be administered to the patient as needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has prepared the 9:00 AM client medications for administration but is called off the unit briefly. Who can distribute these medications to clients?

Correct Answer is B

Explanation

The patient's insurance company refuses to pay for the brand name formulation of a prescribed drug. Which formulation of the drug will the patient receive instead?

Correct Answer is B

Explanation

What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

A patient is to receive insulin Regular and insulin NPH. How will the nurse draw up the insulins for administration?

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