Chapter 49 Prep U- Pharm

When describing the onset of action of Naloxone, the nurse would explain that the drug achieves its effect in which amount of time?

1 to 2 minutes

Which conditions would occur due to the administration of an opioid antagonist in a client who is physically dependent on opioids?

Withdrawal symptoms

A client who is receiving morphine reports nausea after every dose of medication. What is the nurse's best response to this client?

"This is a common side effect of the medication. I will try to make sure you have something to eat when you take the morphine."

Naloxone 2 mg IM has been ordered for a post surgical client. The pharmacy has sent to the floor Naloxone 1 mg/mL. How much Naloxone will the client receive?

2 mL

When administering an opioid antagonist drug to a client, the primary goal of the therapy is to provide:

A return to normal respiratory rate, rhythm, and depth.

Which of the following clients is more likely to have respiratory depression when receiving an opioid medication, requiring administration of an opioid antagonist?

A surgical client who is not used to taking opioid analgesics.

A client's family asks why the nurse has placed suction equipment in the room immediately after administering a dose of Naloxone. Which explanation by the nurse is correct?

Abrupt reversal of opioid-induced respiratory depression may cause vomiting.

Opioid analgesics can be classified as which of the following? Select all that apply:

An agonist A partial agonist A mixed agonist-antagonist

What factors affect how the patient will experience and respond to pain? Select all that apply.

Cultural expectation about how one should respond to pain. Learned behavior from childhood. Past experience with pain.

The client is having surgery this week. What information should the nurse give the client concerning the use of pain medication after surgery?

Ask for pain medication before the pain gets severe.

A trauma client has been receiving frequent doses of morphine in the 6 days since his accident. This pattern of analgesic administration should prompt the nurse to carefully monitor the client's what?

Bowel patterns

A nurse will be prepared to administer Naloxone (Narcan) to a patient who has had an overdose of morphine. Repeated doses of Narcan will be necessary because Narcan

Has a shorter half-life than morphine

A client who is receiving an opioid develops a slowed breathing pattern due to the drug's effect of somnolence and pain relief. When providing care to this client, which would be most important for the nurse to do?

Coach the client to breathe

A patient is receiving drugs through a PCA infusion pump. Which of the following information should a nurse offer to the patient for proper administration of the drug through the infusion pump?

Control button activates administration of the drug.

The nurse is administering morphine to a trauma client for acute pain. What is a common side effect of morphine?

Drowsiness

A client is to receive a narcotic that will be applied transdermally. The nurse identifies this as which agent?

Fentanyl

The pediatric nurse is providing care for several clients who are experiencing pain. The nurse should anticipate that clients may be ordered what narcotic analgesics? Select all that apply.

Hydrocodone Meperidine Morphine

An 80-year-old male client presents to the emergency department with a fractured ankle and multiple abrasions and contusions. He is admitted to the hospital with an order for oxycodone for pain. Oxycodone may be prescribed for a geriatric client because the drug has which characteristic?

It has a short half-life and is less likely to accumulate, causing toxicity or over dosage.

When teaching a client about patient-controlled analgesia (PCA), which would the nurse integrate into the teaching plan?

Many postoperative clients require less opioid when PCA is used.

A client is undergoing inpatient addiction rehabilitation following many years of addiction to heroin. What medication would be the most useful adjunct to treatment?

Methadone

The nurse is caring for a client who has been admitted to the emergency department after a fall. An x-ray indicates that the client has fractured his ankle. Because of a previous stroke, the client does not speak. What other method will the nurse use to assess this client's pain? (Select all that apply.)

Movement of arms and hands Guarding of the leg Facial expressions

A patient is prescribed Naloxone for the treatment of postoperative acute respiratory depression after kidney transplant operation. Which of the following should the nurse identify as the action of Naloxone?

Naloxone restores respiratory function

Which client would the nurse identify as being opioid naive?

One who does not routinely take opioids

A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments?

Pain intensity, respiratory rate, and level of consciousness.

A geriatric client received a narcotic analgesic before leaving the post-anesthesia care unit to return to the regular unit. What is the priority nursing intervention for the nurse receiving the client on the regular unit?

Put side rails up and place bed in low position

After obtaining the history of a client who is prescribed opioid therapy, the nurse determines that the client is opioid naive. The nurse would be especially alert for which effect after the client receives the prescribed opioid?

Respiratory depression

Keith, 12 years old, is seen in the emergency department for a severe sunburn. He is complaining of pain, which he rates 7/10. What type of pain is he suffering from?

Superficial somatic pain

The nurse is caring for a postoperative client with a history of opioid abuse who has been ordered to receive a dose of an opioid antagonist medication. Which issues should the nurse be prepared to address?

The client may begin to demonstrate symptoms of withdrawal.

An 80-year-old man has been prescribed oxycodone for severe, non-cancer, chronic pain. He tells the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing. The nurse will advise the client that:

There is a risk of an extremely high dose available all at once if the tablet is crushed

A group of students are reviewing various methods for assessing pain. The students demonstrate understanding of the material when they identify what as the most reliable method?

Using a pain rating scale.