EAQ 26

A patient reports having a pulsating headache on one side for more than 8 hours. The nurse finds that the patient also has nausea and vomiting. Which drug does the nurse expect to be prescribed to the patient to relieve these signs and symptoms?

Frovatriptan (Frova)

In developing a plan of care for a patient receiving morphine sulfate, which nursing diagnosis is a priority?

Impaired Gas Exchange related to respiratory depression

The nurse will advise a patient receiving opioid analgesics for chronic pain to perform which action to minimize the gastrointestinal (GI) side effects?

Increase fluid and fiber in the diet

A patient has been taking morphine (Roxanol) for postoperative pain. Before discharge, what patient teaching should be provided? Select all that apply.

Increase fluid intake throughout the day. Take a stool softener.

Which condition is a contraindication for the administration of acetaminophen (Tylenol)?

Liver disease

A nurse assesses a patient who was admitted for treatment of influenza A. The nurse finds that the patient has been taking high doses of acetaminophen (Tylenol) to treat fever for several days. What tests will the nurse expect the primary health care provider to order?

Liver function test

A patient is seen daily in a community clinic for treatment of a narcotic addiction. Which medication included in the patient's prescription will support the client's recovery efforts?

Methadone (Dolophine)

The nurse is caring for a postoperative patient who is on naloxone (Narcan) therapy. What are the important nursing interventions that benefit the patient? Select all that apply.

Monitoring heart rate Monitoring the respiratory rate Monitoring for possible bleeding

Which nursing interventions are imperative while providing home care to a patient who is on acetaminophen (Ofirmev) therapy? Select all that apply.

Monitoring serum bilirubin levels Monitoring serum alkaline phosphatase (ALP) levels Monitoring serum alanine aminotransferase (ALT) levels

The nurse prepares to administer morphine sulfate (Roxanol) 5 mg intravenous (IV) to a patient who underwent surgery 30 minutes earlier. What is the most important reason for the nurse to record baseline vital signs before administering this drug?

Morphine sulfate (Roxanol) depresses the respiratory center.

A patient who has cold symptoms is taking acetaminophen (Tylenol) for a fever. The patient asks a pharmacist about purchasing over-the-counter medicines for cold. Why is it important for the patient to properly read the label of the cold medication?

Most cold medications have acetaminophen as an ingredient

A patient with severe respiratory depression is treated in the emergency department for opioid toxicity. What drug will be used to treat respiratory depression in this situation?

Naloxone (Narcan)

A postoperative patient is given an epidural infusion of morphine sulfate (Roxanol). The patient's respiratory rate decreases to 8 breaths/min. Which medication will the nurse expect to be prescribed to the patient?

Naloxone (Narcan)

Which medication is used to treat a patient experiencing severe adverse effects of an opioid analgesic?

Naloxone (Narcan)

A patient has taken an excess dose of acetaminophen (Actamin) for pain management. Which adverse effects associated with acetaminophen (Actamin) are likely to be found in the patient? Select all that apply.

Nausea Vomiting Hepatotoxicity

The nurse is preparing to administer an injection of morphine to a patient. Assessment notes a respiratory rate of 10 breaths/min. Which action will the nurse perform?

Notify the health care provider and delay drug administration

While recording the blood pressure measurements of four patients receiving morphine sulfate (Roxanol), the nurse anticipates that a patient's prescription needs dose tapering or withdrawal of the drug. Which patient's blood pressure measurement supports the nurse's anticipation?

Patient C

The nurse is assessing a patient taking morphine sulfate. Which assessment requires immediate action?

Pinpoint pupils

Which assessment finding indicates that the patient has overdosed on morphine sulfate (Roxanol)?

Pinpoint pupils

When assessing for the most serious adverse reaction to an opioid analgesic, what does the nurse monitor for in the patient?

Respiratory rate

Which assessment is most important for the nurse to monitor in a patient receiving an opioid analgesic?

Respiratory rate

When developing a plan of care for a postoperative client receiving morphine sulfate, which nursing diagnosis has the highest priority?

Risk for impaired gas exchange related to respiratory depression

A patient with migraine headaches who is on serotonin reuptake inhibitor (SSRI) therapy is prescribed sumatriptan (Imitrex). Which possible complication does the primary health care provider anticipate in the patient?

Serotonin syndrome

For which type of pain is a fentanyl (Duragesic) transdermal patch best suited?

Severe pain resulting from cancer metastasis

The nurse is caring for a patient who has oral ulcers. What type of pain, which originates from the skin and mucous membranes, does the patient have?

Superficial pain

A patient with migraine headaches has been prescribed a combination of acetaminophen (Tylenol), barbiturate, and caffeine (Fioricet). The patient tells the nurse, "I don't think this drug is effective anymore, as I am not having as much pain relief as I had earlier." What may the nurse infer from this?

The patient has been taking this medication for a long time.

A patient is prescribed meperidine (Demerol) to relieve severe pain. During the follow-up visit, the nurse finds that the patient has respiratory depression, constipation, and urinary retention. What does the nurse interpret from these observations?

The patient has taken an overdose of the medicine

What is the primary indication for the administration of morphine (Roxanol)?

To relieve acute and chronic pain

Which drugs are indicated as first-line abortive therapy for migraine headaches? Select all that apply.

Zolmitriptan (Zomig) Naratriptan (Amerge)

The nurse is teaching a patient with decreased hepatic function about taking pain relievers. What is the most important information to teach this patient?

"Take no more than 2 grams of acetaminophen per day."

A nursing student asks the nurse about the elimination half-life of codeine sulfate. What is the nurse's response?

2.5 to 4 hours

While admitting a patient for treatment of an acetaminophen overdose, the nurse prepares to administer which medication to prevent toxicity?

Acetylcysteine (Mucomyst)

A patient has been admitted after overdosing on acetaminophen (Tylenol). The nurse plans to monitor this patient for development of which complication related to the overdose?

Acute hepatic necrosis

A patient overdosed on acetaminophen (Tylenol), with a total ingested dose of 14 g. Which condition will be seen in the patient?

Acute hepatotoxicity

A patient is admitted for treatment of opioid addiction. Which intervention is a priority?

Administer methadone (Dolophine).

The health care provider has asked the nurse to administer naltrexone (Vivitrol) to a patient who is addicted to hydromorphone (Dilaudid). What necessary precaution will the nurse take while administering the drug?

Administer naltrexone (Vivitrol) a week after discontinuing hydromorphone (Dilaudid).

A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine? I'm not in pain." Which effect of codeine will the nurse discuss with the patient?

Antitussive

The nurse prepares intravenous morphine sulfate (Roxanol) for a patient but decides to check the medical records before administering the medication. Which condition is the most likely reason the nurse has decided to check the medical records?

Asthma

Which is a contraindication for the administration of opioid analgesics?

Asthma

Which drugs are opioid agonists-antagonists? Select all that apply.

Butorphanol (Stadol) Nalbuphine (Nubain) Buprenorphine (Buprenex)

How does ibuprofen (Motrin) relieve pain?

By blocking the action of cyclooxygenase (COX)

When assessing a client for adverse effects of morphine sulfate (Roxanol), which finding would a nurse expect?

Drowsiness