Nokea
A client is receiving an opioid analgesic. Assessment reveals that his respiratory rate has dropped. Which of the following would the nurse expect to implement?
- A. Oxygen administration
- B. Coaching of the client to breathe
- C. Discontinuation of the opioid analgesic
- D. Naloxone administration
- E. Albuterol administration
Correct Answer: B,D
Rationale: Coaching the client to breathe and administering naloxone (in severe cases) are appropriate measures used to treat a drop in respiratory rate in a client receiving an opioid analgesic. Oxygen would have little effect if the client's rate has dropped. The opioid would not be discontinued. Albuterol would be used if the client was experiencing bronchospasms.
You may also like to solve these questions
A nurse is to administer a prescribed opioid to a client. Which of the following conditions should the nurse confirm in the client to ensure that opioid therapy is not contraindicated in this client?
- A. Client does not have acute bronchial asthma.
- B. Client does not have acute diabetic retinopathy.
- C. Client does not have acute pre-existing liver disease.
- D. Client does not have decreased intracranial pressure.
Correct Answer: A
Rationale: Opioid therapy is contraindicated in clients with acute bronchial asthma; therefore, the nurse should confirm that the client does not have this condition before administering opioid therapy. Opioid therapy is not known to be contraindicated in clients with diabetic retinopathy and pre-existing liver disease. Opioid therapy is contraindicated in clients with increased, not decreased, intracranial pressure.
When describing opioid analgesics to a group of nursing students, the instructor would expect to include which classifications?
- A. An agonist
- B. A partial agonist
- C. A partial antagonist
- D. An antagonist
- E. An agonist-antagonist
Correct Answer: A,B,E
Rationale: An opioid analgesic may be classified as an agonist, partial agonist, and agonist-antagonist.
A nurse would expect to administer opioid analgesics primarily for the client with which of the following?
- A. Severe acute pain
- B. Mild acute pain
- C. Moderate chronic pain
- D. Mild chronic pain
- E. Opioid dependence
Correct Answer: A,C,E
Rationale: Opioid analgesics are used primarily for the treatment of moderate to severe acute pain and chronic pain and in the treatment and management of opiate dependence.
A client is prescribed a transdermal opioid. After teaching the client and family how to administer this drug, the nurse determines that the teaching was successful when they state which of the following?
- A. The drug should be reapplied every 24 hours.
- B. We should try to apply the patch to about the same site each time.
- C. The site should only be cleaned with water before each application.
- D. A hairy area, like the forearm, is an appropriate place to apply the patch.
Correct Answer: C
Rationale: Only water is used to clean the site because soap and other substances may irritate the skin. The patch is applied for 72 hours and sites should be rotated. Any site that is used should be free of hair.
A client is prescribed an opioid analgesic. The initial interview reveals that the client chronically drinks alcohol. The nurse would assess the client for which of the following as a possible interaction between the opioid analgesic and alcohol?
- A. Respiratory depression
- B. Central nervous system depression
- C. Hypotension
- D. Sedation
Correct Answer: B
Rationale: The nurse should monitor the client for central nervous system depression. The nurse need not monitor the client for respiratory depression, hypotension, or sedation because these are the effects of the interaction of opioid analgesics with barbiturates, not alcohol.