Nokea
A client is receiving an opioid antagonist. The nurse would closely monitor the client for which of the following?
- A. Cramps
- B. Sweating
- C. Low blood pressure
- D. Skin inflammation
Correct Answer: B
Rationale: The nurse should monitor for sweating when caring for the client since it is one of the adverse reactions of opioid antagonists. Other adverse reactions include nausea, vomiting, tachycardia, increased blood pressure, and tremors. The nurse need not monitor for cramps, low blood pressure, or skin inflammation since these conditions are not known to be caused by opioid antagonists.
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A client is admitted to a local health care facility for alcohol dependence. The nurse knows that the physician is most likely to prescribe which of the following drugs for the client?
- A. Cisapride
- B. Naproxen
- C. Lincosamide
- D. Naltrexone
Correct Answer: D
Rationale: The nurse should administer naltrexone to the client who has alcohol dependence. It is also used to block the effects of suspected opioids if they are being used by the person undergoing treatment for alcohol dependence. Cisapride, naproxen, and lincosamide are not used to treat alcohol dependence.
After teaching a group of nursing students about opioid antagonists, the instructor determines that the teaching was successful when the students identify which of the following as an example?
- A. Naproxen
- B. Nalbuphine
- C. Naloxone
- D. Nevirapine
Correct Answer: C
Rationale: Naloxone is an opioid antagonist. Naproxen is an NSAID. Nalbuphine is an opioid agonist-antagonist. Nevirapine is an antiretroviral agent.
Prior to the administration of an opioid antagonist, which of the following would be most important for the nurse to obtain?
- A. Blood pressure
- B. Blood glucose
- C. Pulse
- D. Pain assessment
- E. Respiratory rate
Correct Answer: A,C,E
Rationale: Prior to the administration of an opioid antagonist, the nurse must obtain the client's blood pressure, pulse, and respiratory rate.
Abrupt reversal of opioid-induced respiratory depression may cause vomiting. Which action by the nurse would be most appropriate if this occurs during reversal of opioid-induced respiratory depression?
- A. Maintaining a patent airway
- B. Stopping the opioid antagonist
- C. Suctioning the client as needed
- D. Administering more of the opioid
- E. Turning the client to the side as needed
Correct Answer: A,C,E
Rationale: If vomiting occurs during the reversal of opioid-induced respiratory depression, the nurse must maintain a patent airway and should turn and suction the client as needed.
A nurse determines that an opioid antagonist would most likely be needed in which situation?
- A. Postoperative acute respiratory depression
- B. Reversal of phenytoin toxicity
- C. Reversal of opioid-induced hypotension
- D. Suspected acute benzodiazepine overdosage
- E. Suspected acute opioid overdosage
Correct Answer: A,C,E
Rationale: Opioid antagonists are used for the treatment of the following: postoperative acute respiratory depression, reversal of opioid adverse effects (hypotension, bradycardia, etc.), and suspected acute opioid overdosage.