Final answer:
Among the narcotic analgesics listed, oxycodone is the most appropriate for pregnant clients with chronic pain but should be used with caution. Meperidine is typically avoided, while fentanyl and sufentanil are used in more acute hospital settings. d) Oxycodone
Step-by-step explanation:
The question pertains to the most appropriate narcotic analgesic for a client who is pregnant and lives with chronic pain. While opioids like fentanyl, oxycodone, and meperidine are potent pain relievers, prescribing them during pregnancy requires careful consideration due to potential risks to both mother and fetus. According to guidelines and literature, among the options provided, meperidine (option c) is typically avoided due to its metabolites, which can be harmful during pregnancy.
Oxycodone (option d) may be used but with caution, especially during the first trimester and in limited amounts. The use of fentanyl (option b) might be considered but is usually reserved for acute pain management, often in a hospital setting due to its potency and risk of dependency. Sufentanil (option a), like fentanyl, is potent and typically used in monitored settings like anesthesia during surgery, and is not usually a first-line treatment for chronic pain in a pregnant patient.
It's important to recognize that the choice of pain medication during pregnancy should take into account the balance between managing the patient's pain effectively and minimizing potential risks to the developing fetus. As such, non-pharmacological approaches and the least potent opioid required to control pain should be considered. Ultimately, the choice of medication should be made collaboratively between the patient and a team of health professionals, including the prescribing physician, a pain specialist, and an obstetrician.