Pharmacology Chapter 26
A 5-year old client has an elevated temperature as a result of a viral respiratory tract infection. What nonopioid drug should be given to decrease the child's body temperature?
Acetaminophen
An adolescent client tells the nurse that she takes acetaminophen (Tylenol) a few times every day because of "stress headaches." The nurse advices her to see a primary HCP because overuse of the medication may result in:
hepatoxicity
The client is ordered methadone. The client is most likely experiencing:
opioid addiction
A client is ordered to receive ibuprofen (Motrin) for dysmenorrhea. The highest priority instruction that the nurse should give the client is to take the drug:
with fluid or food.
The client is ordered Nubain intravenously for treatment of severe pain. The client anxiously asks when she can expect to have relief from the pain. The nurse anticipates that the client will have relief within _____ minutes
2 to 3
A client is prescribed morphine sulfate for management of severe pain. The client tells the nurse that he takes several herbal preparations. Which herbal preparation will be of most concern to the nurse?
St. John's wort
A client is ordered to receive a nonopioid analgesic. The nurse knows that the client is experiencing ____ pain.
acute mild
A nurse has administered 8.0 morphine sulfate to an adult client in severe pain. What would the nurse evaluate as positive outcomes of this intervention? (select all that apply.) a. Respiratory rate of 6 breaths/min b. Heart rate of 80 beats/minute c. Blood pressure 180/110 mm Hg d. Restlessness e. Absence of facial grimacing f. Verbalization of pain relief g. Ability to take deep breaths
b. Heart rate of 80 beats/minute e. Absence of facial grimacing f. Verbalization of pain relief g. Ability to take deep breaths
A nurse is assessing a postoperative client who received morphine sulfate for severe pain 1 hour ago. What common side effects are associated with this medication?
constipation and pruritus
The client is taking acetaminophen on a regular basis as well as oral contraceptives. The nurse tells the client that this drug interaction will result in a ____ in the effectiveness of the ____
decrease; acetaminophen
A client takes aspirin regularly to deal with the pain of arthritis. Which symptom may be indicative of a serious side effect of the medication?
intense abdominal pain
An adult client has just received morphine sulfate for severe pain. What would indicate that the pain medication was effective?
lowering of tachycardia to within normal limits
A patient receives nalbuphine (Nubain) for intense pain related to a fracture. Which nursing intervention is an important part of the plan of care 1 hour after administration of this medication?
monitor vital signs when getting out of bed
A nurse is planning the care of a client receiving opioid analgesia. What is considered a priority in planning this care?
monitoring respiratory rate
The client is complaining of severe pain. The nurse anticipates that the client will be ordered treatment with:
morphine sulfate
A client requires an opioid antagonist after receiving an overdose of an opioid agent. The nurse anticipates that the client will be ordered:
naloxone
An adult client with a head injury complains of severe pain. The nurse notes that the dose of opioid is half the normal adult dose. What is the reason for this?
respiratory depression allows for a buildup of CO2, a vasodilator
The client receiving Imitrex complains of dizziness. The nurse's highest priority intervention is to recognize that this is a _______ and notify the physician.
side effect of the medication
The client is prescribed Imitrex for migraine headaches. She is nauseated and cannot take the medication by mouth. The nurse anticipates that the client will receive the medication via:
subcutaneous injection
A client receives hydromorphone (Dilaudid) following an operative procedure. The nurse assesses the client's urine output in order to monitor for which side effect of this medication?
urinary retention
