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.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Checking with another nurse may occur, but it’s not mandatory for all schedule II drugs; documentation is the primary legal responsibility to track controlled substances accurately.
Choice B reason: Signing out on a narcotic sheet is required; schedule II drugs like opioids need strict tracking to prevent diversion, ensuring accountability per federal and hospital regulations.
Choice C reason: Leaving medication at the bedside violates security; schedule II drugs must remain controlled, as unattended narcotics risk theft or misuse, breaching safety protocols entirely.
Choice D reason: Extra water is irrelevant to responsibility; it’s a hydration tip, not a legal or safety duty tied to administering highly regulated schedule II controlled substances.
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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