A hospitalized client has a history of depression for which sertraline (Zoloft) is prescribed. The client also has a morphine allergy and a history of alcoholism. After surgery, several opioid analgesics are prescribed. Which one would the nurse choose?
a. Hydrocodone and acetaminophen (Lorcet)
b. Hydromorphone (Dilaudid)
c. Meperidine (Demerol)
d. Tramadol (Ultram)
Question 2A hospitalized client uses a transdermal fentanyl (Duragesic) patch for chronic pain. What action by the nurse is most important for client safety?
a. Assess and record the client's pain every 4 hours.
b. Ensure the client is eating a high-fiber diet.
c. Monitor the client's bowel function every shift.
d. Remove the old patch when applying the new one.
Question 3A registered nurse (RN) and nursing student are caring for a client who is receiving pain medication via patient-controlled analgesia (PCA). What action by the student requires the RN to intervene?
a. Assesses the client's pain level per agency policy
b. Monitors the client's respiratory rate and sedation
c. Presses the button when the client cannot reach it
d. Reinforces client teaching about using the PCA pump
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