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A 57-year-old man has had four shoulder surgeries after a work-related injury. He is currently attending physical therapy. He is prescribed oxycodone/acetaminophen 5/325 mg, one every 6 hours as needed for pain. He reports using fewer pills than prescribed, five or six pills per week. His prescription monitoring report shows regular refills of his prescription for 120 pills per month. He took two of the pills yesterday. A urine toxicology screen is negative for THC, cocaine, amphetamines, methadone, and opiates. Which of the following is TRUE? Select or de-select answer icon a) The patient should be discharged; he is not taking the oxycodone and may be diverting or stockpiling it. Select or de-select answer icon b) Pill counts should be performed at scheduled appointments and at random “call backs” between appointments. Select or de-select answer icon c) His current prescription should be continued with the same dose and quantity of pills dispensed per month. Select or de-select answer icon d) The absence of positives indicates that no useful information can be gained from this toxicology report.
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