Pharmacology EAQ #1 Analgesics

Which statement by the student nurse indicates the need for further education about medication administration?

"I should advise the certified medical assistant to administer intravenous medication."

Which response to morphine would need to be reported immediately to a health care provider?

Bradycardia

Which response would the nurse give to a client taking ibuprofen for rheumatoid arthritis who asks the nurse if acetaminophen can be substituted?

"Ibuprofen has anti-inflammatory properties, and acetaminophen does not."

Which information must be clearly described in the medication administration record (MAR) before administering a medication? Select all that apply. One, some, or all responses may be correct.

-Dosage and route -Client's full name -Time to be administered -Frequency of administration -Full name of prescribed medication

Arrange the pharmacokinetic factors that determine the concentration of medication at its site of action in neonates and infants in the order in which they occur.

Absorption, Distribution, Metabolism, Excretion

Which gastrointestinal factor affects medication absorption and places infants at risk? Select all that apply. One, some, or all responses may be correct.

Gastric acidity and emptying time

Which life threatening complication may occur in clients taking high-dose or long-term ibuprofen?

Gastrointestinal (GI) bleeding

Which result would the nurse monitor in a client with acetaminophen overdose?

Liver function tests

A client develops gastric bleeding and is hospitalized. Which area would the nurse assess closely during the history?

Medications taken routinely or recently

Which treatment would the nurse anticipate administering to a toddler with acetaminophen poisoning?

N-acetylcysteine

Which medication is indicated for management of clinical manifestations associated with an opioid overdose?

Naloxone

Which therapeutic outcome is expected after administering ibuprofen? Select all that apply. One, some, or all responses may be correct.

Pain relief, temp reduction, reduced inflammation

Which adverse effect of morphine indicates the need for naloxone administration?

Respiratory depression

For a client receiving intravenous morphine sulphate, which action would the nurse immediately take when noting a client's respiratory rate is 8 breaths per minute?

Stop administering the medication

Which advice will the nurse provide to the client after a health care provider prescribes aspirin for a client with severe arthritis?

Take the medicine with meals