💚PrepU-Karch-Ch.26:Opioid Agonists, Opioid Antagonists, and Antimigraine Agents

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 10 to 15 minutes 15 to 30 minutes 30 to 60 minutes

1 to 2 minutes Explanation: Naloxone is capable of restoring respiratory function within 1 to 2 minutes of administration. The shorter the time to restoring respiration, the less time the client has to depend on manual or mechanical ventilation, and the better the outcome for the client.

What client may benefit from the addition of codeine to their pain control regimen? A client whose pain is causing insomnia A client who has a dry, persistent cough A client with decreased renal function A client who is experiencing pruritis (itching)

A client who has a dry, persistent cough Explanation: Codeine is sometimes used as an antitussive.

The client is having surgery this week. What information should the nurse give the client concerning the use of pain medication after surgery? Wait as long as possible for pain medication; it will work more effectively. Take as little pain medication as possible to prevent addiction. Ask for pain medication before the pain gets severe. Request your pain medication whenever it is available to you.

Ask for pain medication before the pain gets severe. Explanation: The nurse should emphasize the importance of pain control, stressing to the client that pain relief is greater if the medication is taken when pain is not very severe. If the client waits too long for pain medication, it will be much harder to control the pain. Also, the client should not take pain medication whenever it is available, but only when it is needed. It is rare for a client to become addicted to pain medication when it is taken for the relief of pain. The need for the pain medication goes away when the pain subsides.

Which equipment should be placed in the client's room when administering an opioid antagonist? (Select all that apply.) A pulse oximeter to monitor the client's oxygen saturation levels A cardiac monitor to assess the client's cardiac function Extra pillows to help reposition the client for comfort A different opioid medication to replace the drug being countered Suction equipment in case the client begins to vomit

Suction equipment in case the client begins to vomit A cardiac monitor to assess the client's cardiac function A pulse oximeter to monitor the client's oxygen saturation levels Explanation: A cardiac monitor, ventilator, suction equipment and a pulse oximeter are all valid pieces of equipment to manage side effects from administration of the opioid antagonist. An alternative opioid medication would be contraindicated and it should not be placed in the room. Pillows for repositioning the client are not critical items needed specific to opioid antagonist administration.

The nurse is caring for a postoperative client with a history of opioid misuse who has been ordered to receive a dose of an opioid antagonist medication. Which issues should the nurse be prepared to address? During pain assessment, the client may report less pain. The client may begin to demonstrate symptoms of withdrawal. Multiple doses may be needed to be therapeutic. Double the standard dosage of the medication may be needed.

The client may begin to demonstrate symptoms of withdrawal. Explanation: The client may begin to demonstrate symptoms of withdrawal when they have a history of opioid misuse and is administered an opioid antagonist. The other answers are incorrect. In fact, clients will likely have increased pain due to antagonistic effects of the drug. The standard dosage and a single dose will be administered even with a history of opioid misuse.

The nurse is caring for a client who is receiving an opioid analgesic. What would be a priority assessment by the nurse? Pain intensity and blood glucose level Level of consciousness and respiratory rate Respiratory rate and electrolytes Urine output and pain intensity

evel of consciousness and respiratory rate Explanation: The nurse should assess respiratory rate and level of consciousness because respiratory depression and sedation are adverse effects of opioid analgesics. Blood glucose levels, electrolytes, and urine output are not priority assessments with opioid ingestion.

A class of new nursing students is learning how to administer medications to clients. What should the instructor teach the students about giving opiates? Give a dosage only if you think it is necessary. Assess the client's vital signs hourly. Assess the respiratory rate before giving a dose of opiates. Delay the ordered dose if respirations are below 15 bpm.

Assess the respiratory rate before giving a dose of opiates. Explanation: Check the rate, depth, and rhythm of respirations before each dose. If the rate is fewer than 12 per minute, delay or omit the dose and report to the health care provider. Vital signs do not need to be assessed hourly. Give the medication as scheduled.

A hospital client has been prescribed morphine for the treatment of post-surgical pain. The client tells the nurse, "I'm determined to push through my pain if I can, because there's no way I want to end up addicted to opioids." What should the nurse teach the client? "That's dangerous, and you should never take a medication more often that it's prescribed." The client's need for pain control should be a higher priority than the fear of addiction Opioids used in health care settings are non-addictive and are unrelated to drugs used recreationally "Make sure to let your health care provider know about that at your next scheduled appointment." It is extremely unlikely that the client would become addicted to opioids used for this purpose

It is extremely unlikely that the client would become addicted to opioids used for this purpose Explanation: A client's risk of becoming addicted to opioids that are used for medical purposes is exceedingly low. However, the drugs themselves are capable of causing addiction and many have a potential for misuse. It is paternalistic to state that a client must prioritize pain control over a fear of addiction.

A client has been administered an opioid. For what effect should the nurse regularly assess? Level of consciousness (LOC) Edema Tachycardia Oliguria

Level of consciousness (LOC) Explanation: Opioids will produce decreased LOC. Oliguria is not a result of the administration of an opioid. Edema is not a result of the administration of an opioid. Tachycardia is not a result of the administration of an opioid.

A client diagnosed with migraines expresses interest in taking an over-the-counter acetaminophen, aspirin, and caffeine combination drug. Which information presented in the client's history should prompt the nurse to discourage the client from taking the drug? The client is a smoker. The client has a chronic venous ulcer on the lower leg. The client has not adhered to previous treatment regimens. The client has a diagnosis of liver cirrhosis.

The client has a diagnosis of liver cirrhosis. Explanation: Clients diagnosed with hepatic impairment should not receive this combination agent on an ongoing basis. They may not metabolize acetaminophen in this combined medication effectively, leading to hepatotoxicity. Lack of previous adherence, cigarette smoking, and the presence of skin ulcers do not necessarily contraindicate the use of this drug.