試題詳解

21. A 27-year-old woman with a history of malignant melanoma and multiple subcutaneous metastases has been successfully managed with slowly increasing doses of MS-Contin (Morphine SR), in conjunction with doxepin and ibuprofen. She calls the pain center to complain of a new onset of increasing nausea, vomiting, and headaches, as well as poor pain control. The most appropriate immediate action would be to
(A) speak with the patient by telephone and tell her to increase the MS-Contin
(B) see the patient as soon as possible to determine if there is a new, treatable source of pain
(C) schedule the patient for an evaluation in your office within the week
(D) switch to a fentanyl patch since the patient is nauseated and may be unable to take oral analgesics
(E) add ondansetron for nausea and vomiting so she is able to continue to take oral analgesics