Pharm exam #4

A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The child's mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse? A)"It's best to wait to see if the fever gets worse." B)"You can use the aspirin, but watch for worsening symptoms." C)"Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin." D)"You can use aspirin, but be sure to follow the instructions on the bottle."

"Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."

A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal antiinflammatory drug (NSAID) and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response? A)"Cytotec will also reduce the symptoms of your arthritis." B)"Cytotec helps the action of the NSAID so that it will work better." C)"Cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation." D)"Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."

"Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."

A patient tells the nurse that he likes to drink kava herbal tea to help him relax. Which statement by the patient indicates that additional teaching about this herbal product is needed? A)"I will not drink wine with the kava tea." B)"If I notice my skin turning yellow, I will stop taking the tea." C)"I will not take sleeping pills if I have this tea in the evening." D)"I will be able to drive my car after drinking this tea."

"I will be able to drive my car after drinking this tea."

A patient asks the nurse about the difference between diphenoxylate with atropine (Lomotil) and the over-the-counter drug loperamide (Imodium). Which response by the nurse is correct? A)"Lomotil acts faster than Imodium." B)"Imodium does not cause physical dependence." C)"Lomotil is available in suppository form." D)"Imodium is a natural antidiarrheal drug."

"Imodium does not cause physical dependence."

Patient teaching for a patient receiving allopurinol (Zyloprim) should include which information? A)"Increase your fluid intake to 3 L per day." B)"Include salmon and organ meats in your diet on a weekly basis." C)"Take the medication with an antacid to minimize gastrointestinal distress." D)"This medication may cause your urine to turn orange."

"Increase your fluid intake to 3 L per day."

A patient arrives at the urgent care center complaining of leg pain after a fall when rock climbing. The x-rays show no broken bones, but he has a large bruise on his thigh. The patient says he drives a truck and does not want to take anything strong because he needs to stay awake. Which statement by the nurse is most appropriate? A)"It would be best for you not to take anything if you are planning to drive your truck." B)"We will discuss with your doctor about taking an opioid because that would work best for your pain." C)"You can take acetaminophen, also known as Tylenol, for pain, but no more than 1000 mg per day." D)"You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day."

"You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day."

The nurse should question an order written to administer acetylsalicylic acid (aspirin) to which patient? A)45-year-old man with a history of heart attack B)28-year-old woman with a history of sports injury C)14-year-old boy with a history of flulike symptoms D)62-year-old woman with a history of stroke

14-year-old boy with a history of flulike symptoms

Phenazopyrdine (Pyridium , AZO) a ureter analgesic can only be used for how many hours because it can become toxic to the kidney

48

To avoid fecal impaction, psyllium (Metamucil) should be administered with at least how many ounces of fluid? A)4 B)6 C)8 D)10

8

The nurse notes in the patient's medication history that the patient is taking cyclobenzaprine (Flexeril). Based on this finding, the nurse interprets that the patient has which disorder? A)A musculoskeletal injury B)Insomnia C)Epilepsy D)Agitation

A musculoskeletal injury

What labs should definitely be evaluated with prolonged Tylenol use or Tylenol overdose? Select all that apply A) ALT B) AST C) SGOT D) SGPT

A) ALT B) AST C) SGOT D) SGPT

Which uric acid reducer is used to prevent gout? A) Allopurinol B) Amoxicillin C) Atenolol D) Colchicine

A) Allopurinol

What are contraindications for NASID use? Select all that apply A) History of GI bleed or Ulcers B) Renal Insufficiency C) Pregnancy D) Hyperthyroidism

A) History of GI bleed or Ulcers B) Renal Insufficiency C) Pregnancy

What are the routes of administration for codeine? Select all that apply A) IM B) PO C) IV D) SC

A) IM B) PO C) IV D) SC

What organ is most affected by Tylenol overuse? A) Liver B) Pancreas C) Lungs D) Stomach

A) Liver

Select the correct answer related to ASA A) Low doses are used daily for anti platelet aggregation B) Higher doses ( as recommend) are used for pain and inflammation C) ASA can be used to kill bacteria D) ASA will cause stimulation of appetite

A) Low doses are used daily for anti platelet aggregation B) Higher doses ( as recommend) are used for pain and inflammation

Select all that apply to sulfa antibiotics A) Most commonly used for UTIs B) Must wear Sunscreen C) Can cause tendon rupture D) Causes urine to turn orange

A) Most commonly used for UTIs B) must wear sunscreen

What are some medications that are combination oxycodone drug? Select all that apply A) Percodan ( combined with ibuprofen) B) Visoprofen ( combined with ibuprofen) C) Lortab ( combined with acetaminophen) D) Percocet ( combined with acetaminophen)

A) Percodan ( combined with Ibuprofen) D) Percocet ( combined with acetaminophen)

Select all that apply Name some nursing interventions for patients receiving chemotherapy A) small meals B) wigs or hats C) antiemetics D) Avoid crowds E) give nausea meds

A) Small meals B) wigs or hats C) antiemetics D) avoid crowds

Select all that is true regarding allopurinol A) Stop medications of all over rash occurs B) Take medications with a full glass of water C) Increase fluid intake D) Monitor kidney and liver function

A) Stop medications of all over rash occurs B) Take medications with a full glass of water C) Increase fluid intake D) Monitor kidney and liver function

What are some nursing implications/ education for NSAID use? Select all that apply A) Take with food to decrease GI upset B) Do not crush enteric coated tabs C) avoid alcohol D) Do not take 1 week before surgical procedures

A) Take with food to decrease GI upset B) Do not crush enteric coated tabs C) avoid alcohol D) Do not take 1 week before surgical procedures

What drug class does TMF stand for? Select all that apply A) Tetracyclines B) Fluoroquinolones C) Marcolides D) Mucinex

A) Tetracyclines B) Fluoroquinolones C) Marcolides

Select all nursing implications related to opioid/ narcotics A) assess pain level B) Assess VS C) Cancer pt may need dose adjustment. tolerance can occur with long term use D) notify health care provider if respirations are <12/ min

A) assess pain level B) Assess VS C) Cancer pt may need dose adjustment. tolerance can occur with long term use D) notify health care provider if respirations are <12/ min

Select all that apply to the drug class of ahminoglycosides A) can cause ototoxicity B) can cause nephrotoxicity C) Nurses must monitor BUN, Creatinine, and assess for tinnitis D) minitor for redman syndrome

A) can cause ototoxicity B) Can cause nephrotoxicity C) nurse must monitor BUN, Creatinine, and assess for tinnitis

Select all side effects that could apply to opioid/narcotics A) respirator depression B) Confusion C) Constipation D) orthostatic hypotension

A) respirator depression B) Confusion C) Constipation D) orthostatic hypotension

Why would the nurse be looking for during an eye exam on someone who is taking anti-malarial medications ( select all that apply) A)visual disturbances B) eye problems C) loss of vision D) blurred vision E) Nystagmus

A) visual disturbances B) eye problems C) loss of vision D) blurred vision

A client has been started on medication therapy with nitrofurantion as chronic suppressive therapy for urinary tract infection. What statements should the nurse include when teaching the cliet about this? Select all that apply. A)This medication causes harmless brown color to the urine B)You should greatly increase your daily fluid intake to about 3 liters/day. C)Monitor your urine for cloudiness or foul smell. D)Promptly report muscle weakness, tingling, or numbness to the presciber. E)Nausea can be a common side effect of this medication.

A)This medication causes harmless brown color to the urine C)Monitor your urine for cloudiness or foul smell. D)Promptly report muscle weakness, tingling, or numbness to the presciber. E)Nausea can be a common side effect of this medication.

Select all that apply to the drug class of tetcyclines A) stainsteeth of children under 8 years old B) Do not take at the same time as milk, iron, or antacids C) must Use sunscreen D) Should be taken on an empty stomach

A)stainsteeth of children under 8 years old B) Do not take at the same time as milk, iron, or antacids C)must Use sunscreen D)Should be taken on an empty stomach

Select all that apply to Isotretionin ( acuetain) A) an Ipledge must be signed by the patient B) it is used to treat sever acne C) it can cause fetal malformations ( need to use 2 BC methods) D) It can increase suicidal tendencies

ALL A,B,C,D

A laxative has been ordered for a patient. The nurse checks the patient's medical history and would be concerned if which condition is present? A)High ammonia levels due to liver failure B)Diverticulosis C)Abdominal pain of unknown origin D)Chronic constipation

Abdominal pain of unknown origin

What is the antidote for acetaminophen overdose? A) Benadryl B) Naloxone C) Acetylcysteine ( Mucymist) D) Ibuprofen

Acetylcysteine

A patient has been admitted after overdosing on acetaminophen (Tylenol), with a total ingested dose of 14 g over a period of 1 hour. The nurse plans to monitor this patient for development of which of the following signs and symptoms related to the overdose? A)Renal failure B)Kidney stones C)Acute hepatic necrosis D)Metabolic alkalosis

Acute hepatic necrosis

A female nurse is giving a patient medication for BPH. Which medication should she not handle? Select all that apply? A) Sildenafil B) Finasteride C) Tamsulosin D) Terazosin

B) Finasteride

A patient who is taking medication for BPH reports he is told this medication will promote regression of prostate tissue. Which medication can cause this? Select all that apply. A) Sildenafil B) Finastride C) Tamsulosin D) Terazosin

B) Finastride

What is the antidote for a narcotic overdose? A) Antabuse B) Naloxone C) Amoxicillin D) Benadryl

B) Naloxone

What are the routes of administration for hydrocodone? Select all that apply A) IM B) PO C) SC D) IV

B) PO

What are the routes of administration for oxycodone? Select all that apply A) IM B) PO C) SC D) IV

B) PO

Select TWO "hallmark" side effects of fluoroquinolones such as Ciprofloxin? A) Redman syndrome B) Prolongation of QT Interval C) Tendon Rupture D) Nephrotoxicity

B) Prolonged QT interval C) Tendon Rupture

What are some medications that are combination hydrocodone drugs? Select all that apply A) Percodan ( combined with ibuprofen) B) Vicoprofen ( combined with ibuprofen) C) Lortab ( combined with acetaminophen) D) Vicodin ( combined with acetaminophen)

B) Vicoprofen ( combined with ibuprofen) C) Lortab ( combined with acetaminophen) D) Vicodin ( combined with acetaminophen)

Select all that are true related to a peak and trough A) The nurse would give a medication even if the trough is too high B) The peak is drawn 30 minuted to 1 hour after a medication is given C) The trough is drawn 30 min before the next dose is given D) If the trough level is too high toxicity can occur

B) the peak is drawn 30 min to 1 hour after medication is given C) The trough is drawn 30 min before the next dose D) If the trough level is too high toxicity can occur

The nurse concludes that docusate sodium is appropriate for use in which of the following clients? Select all that apply. A)A client preparing for a colonoscopy who needs a bowel prep B)A postoperative client taking opioid anagesics for pain C)A client who experienced a myocardial infarction D)A client trying to reduce the chances of chronic constipation E)A client with painful hemorrhoids

B)A postoperative client taking opioid anagesics for pain C)A client who experienced a myocardial infarction E)A client with painful hemorrhoids

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

B)Constipation C)Lightheadedness E)Urinary retention F)Itching

When teaching a patient about potential side effects of NSAID therapy, the nurse will teach the patient to promptly report which effect? A)Mild indigestion B)Black tarry stools C)Nonproductive cough D)Nausea

Black tarry stools

Nitrofuantion (Macrobid) is also a great antibiotic for UTIs. This medication can cause the urine to look _____.

Brown

A patient wants to prevent problems with constipation and asks the nurse for advice about which type of laxative is safe to use for this purpose. Which class of laxative is considered safe to use on a long-term basis? A)Emollient laxatives B)Bulk-forming laxatives C)Hyperosmotic laxatives D)Stimulant laxatives

Bulk-forming laxatives

A patient who is taking medications for being prostatic hyperplasia (BPH) reports symptoms of hypotension. Which BPH medication/ medications can cause hypotension? Select all that apply A) sildenafile B) Finastride C) Tamsulosin D) Terazosin

C) Tamsulosin D) Terazosin

A nurse administering tamsulosin to a client would expect to note which THERAPUTIC outcomes? Select all that apply. A)Hypotension B)Syncope C)Decreased urethral obstruction D)Increased urine flow E)Decreased urinary frequency

C)Decreased urethral obstruction D)Increased urine flow E)Decreased urinary frequency

if someone is allergic to the drug class of Penicillins, they may also have a cross-sensitivity to the drug class of... A) tetracyclines B) Cephalosporins C) Aminoglycosides D) Sulfamonides

Cephalosporins

What is the maximum daily dose of Tylenol A) 750 mg B) 6500 mg C) 1000 mg D) 3000 mg

D) 3000 mg

Which uric acid reducer is used during a gouty attack? A) Allopurinol B) Amoxicillin C) Atenolol D) Colchicine

D) Colchicine

What is usually the first sign of ASA toxicity A) headache B) shortness of breath C) joint pain D) Tinnitus

D) Tinnitus

A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect? A)Decreased uric acid levels B)Decreased prothrombin time C)Decreased white blood cell count D)Increased hemoglobin and hematocrit levels

Decreased uric acid levels

After administering oxybutynin (Ditropan) to a patient with spina bifida, the nurse is assessing the patient for therapeutic effects. What is the nurse assessing for in the patient? A)Decreased muscle twitches B)Decreased urinary frequency C)Increased bowel movements D)Increased heart rate

Decreased urinary frequency

A patient with irritable bowel syndrome (IBS) receiving 0.5 mg alosetron (Lotronex) bid orally develops constipation. What is the appropriate treatment strategy in this situation? A)Discontinuing the medication B)Increasing the dose of medication C)Changing the route of administration D)Decreasing the frequency of administration

Discontinuing the medication

The nurse teaches a patient prescribed the fentanyl (Duragesic) transdermal delivery system to change the patch at what interval? A)When pain recurs B)Every 24 hours C)Every 72 hours D)Once a week

Every 72 hours

True or False It is not necessary to obtain blood and urine cultures before antibiotics are started

False

True or False Its okay to drink alcohol while taking metronidazole

False

What is the most commonly used medication for neuropathic pain? A) Ibuprofen B) Tylenol C) Oxycontin D) Gabapentin

Gabapentin

A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining of severe pain around his incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient? A)His pulse rate B)His respiratory rate C)The appearance of the incision D)The date of his last bowel movement

His respiratory rate

In developing a plan of care for a patient receiving morphine sulfate, which nursing diagnosis is a priority? A)Acute pain B)Risk for injury related to central nervous system side effects C)Impaired gas exchange related to respiratory depression D)Constipation related to gastrointestinal side effects

Impaired gas exchange related to respiratory depression

During the administration of finasteride (Proscar), the nurse must remember which important precaution? A)It must be taken on an empty stomach. B)It must not be handled by pregnant women. C)It is given by deep intramuscular injection to avoid tissue irritation. D)The patient needs to be warned that alopecia is a common adverse effect.

It must not be handled by pregnant women.

While recovering from surgery, a 74-year-old woman started taking a stimulant laxative, senna (Senokot), to relieve constipation caused by the pain medications. Two weeks later, at her follow-up appointment, she tells the nurse that she likes how "regular" her bowel movements are now that she is taking the laxative. Which teaching principle is appropriate for this patient? A)She needs to be sure to take this medication with plenty of fluids. B)It is important to have a daily bowel movement to promote bowel health. C)Long-term use of laxatives often results in decreased bowel tone and may lead to dependency. D)She needs to switch to glycerin suppositories to continue having daily bowel movements.

Long-term use of laxatives often results in decreased bowel tone and may lead to dependency.

An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to administer which type of analgesic? A)Synthetic opioid, such as meperidine (Demerol) B)Opium alkaloid, such as morphine sulfate C)Opioid antagonist, such as naloxone HCL (Narcan) D)Nonopioid analgesic, such as indomethacin (Indocin)

Nonopioid analgesic, such as indomethacin (Indocin)

The nurse is preparing to administer an injection of morphine to a patient. Assessment notes a respiratory rate of 10 breaths/min. Which action will the nurse perform? A)Administer a smaller dose and record the findings. B)Notify the physician and delay drug administration. C)Administer the prescribed dose and notify the physician. D)Hold the drug, record the assessment, and recheck in 1 hour.

Notify the physician and delay drug administration.

A patient is receiving gabapentin (Neurontin), an anticonvulsant, but has no history of seizures. The nurse expects that the patient is receiving this drug for which condition? A)Inflammation pain B)Pain associated with peripheral neuropathy C)Depression associated with chronic pain D)Prevention of seizures

Pain associated with peripheral neuropathy

Metoclopramide can cause reactions such as _________ like side effects

Parkinson

he nurse would question an order to administer misoprostol (Cytotec) to a patient with which condition? A)Chronic obstructive pulmonary disease C)Gastroesophageal reflux disease D)Pregnancy E)Peptic ulcer

Pregnancy

Phenazopyrdine ( Pyridium, AZO) will turn the urine bright what?

Red/Orange

During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal antiinflammatory drugs (NSAIDs)? A)Renal disease B)Diabetes mellitus C)Headaches D)Rheumatoid arthritis

Renal disease

When assessing for the most serious adverse reaction to a narcotic analgesic, what does the nurse monitor for in the patient? A)Respiratory rate B)Heart rate C)Blood pressure D)Mental status

Respiratory rate

A healthy adult client has been taking a laxative 3 days per week for 9 months. What primary risk should the nurse address in a teaching plan with this client? A)Risk for drug dependence B)Risk for electrolyte imbalance C)Risk for fluid imbalance D)Risk for inadequate nutritional status

Risk for drug dependence

A healthy adult client has been taking a laxative 3 days per week for 9 months. What primary risk should the nurse address in a teaching plan with this client? A)Risk for drug dependence B)Risk for electrolyte imbalance C)Risk for fluid imbalance D)Risk for inadequate nutritional status

Risk for drug dependence

A patient has been taking tolterodine (Detrol), which is an Anticholenergic medication. Which side effect would be expected? A)Excessive saliva B)urinary bleeding C)h narrow-angle glaucoma. D)The incidence of dry mouth

The incidence of dry mouth

When administering a bulk-forming laxative, the nurse instructs the patient to drink the medication mixed in a full 8-ounce glass of water. Which statement best explains the rationale for this instruction? A)The water acts to stimulate bowel movements. B)The water will help to reduce the bulk of the intestinal contents. C)These laxatives may cause esophageal obstruction if taken with insufficient water. D)The water acts as a lubricant to produce bowel movements.

These laxatives may cause esophageal obstruction if taken with insufficient water.

The drug nalbuphine (Nubain) is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists? A)They have antiinflammatory effects. B)They are given to reverse the effects of opiates. C)They have a higher potency than agonists. D)They have a lower dependency potential than agonists.

They have a lower dependency potential than agonists.

What does TMF stand for in relations to antibiotics ? A) Too much Fun B) Too much Food C) To my friends D) Total molecule Fragmentation

Too Much Food

What does TMS stand for in relation to antibiotics? A) To my sweetie B) Thank my students C) Too Much Sun D) Too Much Sweating

Too much Sun

A patient has TB and is taking INH. They should take Pyridoxine (Vit B6) to prevent peripheral neuropathy True or false

True

True or False Health Care providers are nos allowed to prescribe Naloxone and Narcotics at the same time to prevent overdose

True

True or False The nurse should provide information about the importance of using sunscreen when the patine is taking Doxycycline

True

True or False Antibiotics cause superinfections; (yeast infections and C-Diff) because they kill the bad bacteria and normal flora

True

True or False Azithromycin is in the drug class of Marcolides and should be taken on an empty stomach

True

True or False Before giving amphotericin B, an antiemetic and antipyretic should be given K+ levels should be monitored

True

True or False Hydrocodone, oxycodone , and codeine are all Schedule 2 drugs

True

True or False Redman syndrome, Otto toxicity and nephrotoxicity are all side effects of Vancomycin

True

True or false A patient may use an NSAID such as Naproxen or Ibuprofen during a gout attack to decrease pain

True

True or false You can overdose on acetaminophen ( Tylenol)

True

Sulfa Antibiotics are the most common antibodies used for what?

UTIs

While admitting a patient for treatment of an acetaminophen overdose, the nurse prepares to administer which medication to prevent toxicity? A)naloxone (Narcan) B)acetylcysteine (Mucomyst) C)methylprednisolone (Solu-Medrol) D)vitamin K

acetylcysteine (Mucomyst)

teach your patient to avoid _________ in their drinks

caffeine

Some antispasmodics may cause ________, _________, _______ so advise patient to use caution when driving

drowsiness, dizziness, blurred vision

teach your patient to use saline eye drops to help with

dry eyes

over-active bladder medication help relieve symptom. these medication are anticholergenics one side effect is ______ ______, you can you patient hard candy or gum to help with this

dry mouth

A patient is admitted to the emergency department with a severe overdose of a benzodiazepine. The nurse immediately prepares to administer which antidote from the emergency drug cart? A)naloxone (Narcan) B)naltrexone (ReVia) C)nalmefene (Revex) D)flumazenil (Romazicon

flumazenil (Romazicon)

A patient receiving narcotic analgesics for chronic pain can minimize the gastrointestinal (GI) side effects by A)taking Lomotil with each dose. B)eating foods high in lactobacilli. C)taking the medication on an empty stomach. D)increasing fluid and fiber in the diet.

increasing fluid and fiber in the diet.

Most nonsteroidal antiinflammatory drugs (NSAIDs) work by A)enhancing pain perception. B)inhibiting prostaglandin production. C)increasing blood flow to painful areas. D)increasing the supply of natural endorphins.

inhibiting prostaglandin production.

Which NSAID would the nurse anticipate administering parenterally for the treatment of acute postoperative pain? A)allopurinol (Zyloprim) B)indomethacin (Indocin) C)ketorolac (Toradol) D)diclofenac (Cataflam)

ketorolac (Toradol)

A patient is admitted to the psychiatric unit for detoxification treatment of narcotic addiction. The nurse would anticipate administration of which medication? A)morphine B)methadone C)meperidine D)naloxone

methadone

Which medication is used to treat a patient suffering from severe adverse effects of a narcotic analgesic? A)naloxone (Narcan) B)acetylcysteine (Mucomyst) C)methylprednisolone (Solu-Medrol) D)flumazenil (Romazicon)

naloxone (Narcan)

A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect? A) Tachycardia B) Nervousness C) Nausea and vomiting D) Dizziness

nausea and vomiting

A client has a new prescription to take bisacodyl. To enhance a rapid medication effect, the nurse instructs the client to take the medication in which way A)on an empty stomach B)with plenty of fluids C)with meals D)at bedtime

on an empty stomach

A client has a new prescription to take bisacodyl. To enhance a rapid medication effect, the nurse instructs the client to take the medication in which way. A)on an empty stomach B)with plenty of fluids C)with meals D)at bedtime

on an empty stomach

The nurse plans pharmacologic therapy for a patient with pain based on the knowledge that A)narcotic analgesics should not be used for more than 24 hours secondary to the risk of addiction. B)analgesics should be administered as needed (prn) to minimize side effects. C)pain relief is best obtained by administering analgesics around the clock. D)patients should request analgesics when the pain level reaches a "6" on a scale of 1 to 10.

pain relief is best obtained by administering analgesics around the clock.

You should use what with Sulfa medications because of photosensitivity

sunscreen