pharm quiz 9

The client receives morphine for pain. Which comment by the client does the nurse recognize as an expected side effect of morphine?

"I feel like I am going to throw up."

The client who is a HCP receives morphine for pain. He asks the new RN how it works to relieve pain. What is the best response by the RN?

"It stimulates mu and kappa receptors in your brain so you will not feel pain."

The client receives aspirin. The nurse assesses an adverse effect to this drug when the client makes which response

"There is a constant ringing in my ears."

The client is to start on sumatriptan (Imitrex) for migraine headaches. What important nursing education is required for the client. (Select all that apply.) The nurse will instruct the client

to not drive until the effects of the medication are known. to avoid pseudoephedrine (Sudafed) with this medication

The client has a patient-controlled analgesia (PCA) pump following surgery. The nurse keeps naloxone (Narcan) in the client's room as per protocol. What does the nurse recognize as the rationale for this protocol? Naloxone (Narcan):

will reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs

The nurse is caring for a client in the emergency department diagnosed with Bell's palsy. The client has been taking acetaminophen (Tylenol), and acetaminophen overdose is suspected. The nurse anticipates that the antidote to be prescribed is:

Acetylcysteine (Mucomyst

The nurse provides care for several clients. For which client would the nurse question an order for acetaminophen (Tylenol)? A:

55-year old who socially drinks alcohol

What does the nurse recognize as the most dangerous adverse effect of inhalation anesthesia?

Malignant hyperthermia

For the client who is taking butorphanol (Stadol) every four hours,what should the nurse do? (Select all that apply.)

Monitor for any changes in respirations Instruct the client to avoid alcohol when taking butorphanol

The client comes to the emergency department with a head injury, broken ribs, and internal bleeding. Opioid analgesics are contraindicated. What does the nurse recognize as the primary rationale for this?

Opioids can mask changes in the client's level of consciousness

The post-surgical client has an order for morphine 2 mg IV push every two hours and ibuprofen (Motrin) 400mg every six hours prn. He received the morphine two hours ago, and is complaining of pain again. What is the nurse's first intervention? Plan to:

assess the client's level of pain