CLINICAL HISTORY: Boil, left groin. SPECIMEN RECEIVED: Necrotic fascia left groin and leg (anterior and posterior). GROSS DESCRIPTION: The specimen is labeled with the patient’s name and “fascia left groin and leg” and consists of multiple segments of skin and soft tissue measuring up to 30 cm in greatest dimension. The skin is unremarkable, with the soft tissue being hemorrhagic and friable and foul smelling. MICROSCOPIC DESCRIPTION: Sections of skin and soft tissue show coagulative necrosis with neutrophilic exudates. DIAGNOSIS: Skin and soft tissue, left groin and leg, anterior and posterior showing coagulative necrosis and acute inflammation

Mr. will, a 67-year-old patient, is postoperative day 2 after a coronary artery bypass graft operation to revascularize his coronary arteries that were significantly blocked. he has a midline incision of his chest and a 7-inch incision on the inner aspect of his right thigh where a saphenous vein graft was harvested and used to vascularize the blocked coronary artery. the surgeon ordered oxycodone 5 mg every 4 hours prn for moderate pain and oxycodone 10 mg every 4 hours prn for severe pain. a. considering the patient's age, what medication administration considerations should the nurse incorporate into the pain management plan and why? b. what measures should the nurse provide the patient to prevent adverse effects of analgesic agents from occurring? c. what nonpharmacologic pain management methods should the nurse teach to mr. will to assist with pain management?