<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 72-year-old woman comes to the emergency department because of upper abdominal pain and nausea for the past hour. The patient rates the pain as an 8 to 9 on a 10-point scale. She has had an episode of nonbloody vomiting since the pain started. She has a history of type 2 diabetes mellitus, hypertension, and osteoporosis. The patient has smoked 2 packs of cigarettes daily for 40 years. She drinks 56 alcoholic beverages daily. Current medications include glyburide, lisinopril, and oral vitamin D supplements. Her temperature is 38.5C 101.3F, pulse is 110min, and blood pressure is 13886 mm Hg. Examination shows severe epigastric tenderness to palpation with guarding but no rebound. Ultrasonography of the abdomen shows diffuse enlargement of the pancreas; no gallstones are visualized. The patient is admitted to the hospital for pain control and intravenous hydration. Which of the following is the most appropriate next step in the management of this patients pain?? A: Patient-controlled intravenous hydromorphone, B: Transdermal bupivacaine on request, C: Oral acetaminophen every 6 hours, D: Oral gabapentin every 24 hours, E: Transdermal fentanyl every 72 hours,  <response>: This is a clinical vignette about a 72-year-old woman presenting to the emergency department with upper abdominal pain, nausea, and vomiting. She has a history of diabetes, hypertension, osteoporosis, heavy smoking, and alcohol use. Her vital signs show fever, tachycardia, and normal blood pressure. On exam she has epigastric tenderness and guarding. An ultrasound shows pancreatitis but no gallstones. She is admitted for pain control and IV fluids. The question is asking for the most appropriate next step for managing this patients severe pain. Based on the clinical presentation, this patient likely has acute pancreatitis causing her severe abdominal pain. The pain needs to be controlled quickly and effectively.A: Patient-controlled intravenous hydromorphone 