Question

The older adult client has a fentanyl patch 75mcg for chronic pain. Which statement is correct regarding this drug for the older adult? This patient should not have a fentanyl patch for chronic pain.

1. The dose may be too low.
2. The dose may be too high for this patient.
3. The dose is appropriate.

Which drugs would be appropriate for pain management for a client who sustained multiple abrasions to both knees after falling off a bicycle? (Select all that apply.)

1. Acetaminophen
2. Aspirin
3. Hydrocodone
4. Ibuprofen
5. Morphine

Answer 1

1. Fentanyl patch recommended dose is 25mcg/hr q3d ( every 3 days) and not 75mcg in patch thus dose is too high for patient

So correct option choice is b ( note - though drug in 25 mcg , 50 mcg , 75mcg and 100mcg ordered but for fentanyl patch recommended dose in adults is 25mcg and not 75mcg )

2. Multiple abrasion from bicycle fall can be healed by proper cleaning of wound , bandaging and for pain management OTC can be given which are acetaminophen and ibuprofen but aspirin can't be given even though it is OTC because aspirin is blood thinner and inhibit wound healing , but wound healing is required in case fall abrasion thus aspirin should not be given

Hydrocodone and morphine are opioids and should be provided in chronic pain and not in this case in which pain is manageable by acetaminophen and NSAIDs .

Thus correct option selection is a and d that is acetaminophen and ibuprofen.

PLEASE UPVOTE IF YOU FIND IT SATISFACTORY. COMMENT IF ANY DOUBT.