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The nurse would consider questioning all of the medication prescriptions, but the opioid-naïve adult has the greatest immediate risk, because the use of a basal dose has been associated with an increased incidence of respiratory depression in opioid-naïve clients. Older adults are frequently prescribed NSAIDS; however, they are used with caution, and the client's history should be reviewed for potential problems, such as a history of gastrointestinal bleeding, cardiac disease, or renal dysfunction. Many medications such as anticoagulants, oral hypoglycemics, diuretics, and antihypertensives can also cause adverse drug-drug interactions with NSAIDs. IM injections cause pain, absorption is unreliable, and there are no advantages over other routes of administration routes. If a client is able to tolerate oral foods and fluids, oral medications are preferred because the efficacy of the oral route is equal to the IV route.

A. The opioid-naïve adult has the greatest immediate risk with basal dose opioids.

B. NSAIDs are commonly prescribed for older adults without caution.

C. IM injections are the preferred route for pain management.

D. Oral medications are less effective than IV medications.

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Final answer:

The subject of this question is Health. It discusses medication-related risks in different populations, including opioid-naïve adults and older adults. It also mentions the disadvantages of IM injections and the efficacy of oral medications.

Step-by-step explanation:

The subject of this question is Health. The question discusses several medication-related risks in different populations. It mentions the immediate risk of respiratory depression in opioid-naïve adults using a basal dose of opioids, the caution required when prescribing NSAIDs to older adults due to potential problems like gastrointestinal bleeding and cardiac disease, the adverse drug-drug interactions of NSAIDs with certain medications, the disadvantages of IM injections in pain management, and the equal efficacy of oral medications compared to IV medications.

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