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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Alcohol and hepatitis C impair liver function; acetaminophen’s metabolite NAPQI accumulates, causing hepatotoxicity in an already compromised organ.

Choice B reason: COPD and smoking affect lungs, not liver; acetaminophen metabolism is minimally impacted, posing lower hepatic risk compared to liver disease states.

Choice C reason: Renal disease affects drug excretion, not liver metabolism; acetaminophen’s hepatic load is unchanged, making liver damage less likely here.

Choice D reason: Prostate issues involve urinary tract; liver metabolism of acetaminophen remains intact, with no heightened risk of hepatotoxicity from this condition.

A. One time. B. Two times. C. Three times. D. Five times.

Correct Answer is C

Explanation

Choice A reason: Checking medications only once increases the likelihood of errors. Safe practice requires multiple verification steps.

Choice B reason: While better than a single check, verifying only twice may still miss potential discrepancies in drug or dosage accuracy.

Choice C reason: The three-check system (when retrieving, preparing, and administering medication) minimizes errors, ensuring patient safety through consistent validation at each step.

Choice D reason: Excessive verification may delay administration, reducing practicality without significantly improving safety beyond three checks.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following patients is most at risk for liver damage after taking acetaminophen regularly for arthritis pain?

Correct Answer is A

Explanation

When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:

Correct Answer is C

Explanation

What are the concepts considered to be rights of medication administration? (Select all that apply.)

A primary health-care provider prescribes a medication that must be administered transdermal. Which information about the route of administration does the nurse understand is related to a drug prescribed to be administered transdermal?

The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:

When administering medications, a nurse must know a client's medical history and pharmacokinetics of prescribed medications because most drugs are metabolized in the:

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

The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?

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:

A patient is due for a 40-mg dose of furosemide (Lasix) at 9:00 AM on May 5, 2013. The drug label reads "20 mg per tablet." The tablets in the bottle appear firm and unbroken. The expiration date on the bottle reads "April 2, 2013." The best nursing action is to: