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B; If a patient is taking long-acting opioid analgesics, breakthrough pain must be treated with an
immediate-release opioid. The other options are not appropriate actions. - answer ✔✔-A 57-year-old
woman being treated for end-stage breast cancer has been using a transdermal opioid analgesic as part
of the management of pain. Lately, she has been experiencing breakthrough pain. The nurse expects this
type of pain to be managed by:
A. Administering acetaminophen
B. Administering an immediate-release opioid
C. Chaning the opioid route to the recal route
D. Not changing the current therapy
B, C, E, F; Constipation (not diarrhea), lightheadedness (not nervousness), urinary retention, and itching
are some of the common adverse effects that the patient may experience while taking Vicodin. - answer
✔✔-Vicodin (acetaminophen/hydrocodone) is prescribed for a patient who has had surgery. The nurse
informs the patient that which common adverse effects can occur with this medication? Select all that
apply.
A. Diarrhea
B. Constipation
C. Lightheadedness
D. Nervousness
E. Urinary retention
F. Itching
D; Acetaminophen is indicated for milk to moderate pain and does not cause drowsiness, as an opioid
would. Currently, the maximum daily amount of acetaminophen is 3000 mg per day. The 1000-mg
amount per day is too low. Telling the patient not to take any pain medication is incorrect. - answer