Nokea
A nurse assesses a client for common adverse reactions of opioids. Which of the following would the nurse identify?
- A. Respiratory depression
- B. Diarrhea
- C. Mydriasis
- D. Constipation
- E. Miosis
Correct Answer: A,D,E
Rationale: Respiratory depression, miosis, and constipation are examples of common adverse reactions seen with the use of opioids.
You may also like to solve these questions
A nurse is assigned to care for a client who has been prescribed an opioid analgesic. Which of the following activities should the nurse perform as part of the preadministration assessment?
- A. Document description of pain and an estimate of when the pain began.
- B. Obtain client's blood pressure and pulse within 5 to 10 minutes.
- C. Monitor the client for symptoms of respiratory depression.
- D. Record each bowel movement and its appearance, color, and consistency.
Correct Answer: A
Rationale: The nurse should document the description of pain and an estimate of when the pain began as part of the preadministration assessment. Obtaining blood pressure and pulse within 5 to 10 minutes, monitoring the client for symptoms of respiratory depression, and recording bowel movements are part of the ongoing assessments conducted by the nurse when caring for the client.
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.
A nurse is caring for a client with chronic pain who has been prescribed epidural analgesia. The nurse monitors the client for which of the following after insertion of the epidural catheter and throughout the therapy?
- A. Abdominal pain
- B. Respiratory depression
- C. Fever
- D. Nervousness
Correct Answer: B
Rationale: The most serious adverse reaction associated with the epidurally administered opioids is respiratory depression. The nurse should closely monitor the client for respiratory depression after insertion of the epidural catheter and throughout the therapy.
A nurse should be aware of contraindications to the use of opioids to help decrease the likelihood of adverse reactions. The nurse understands that opioids would be contraindicated in which client?
- A. A client with acute bronchial asthma
- B. A client with an acute myocardial infarction
- C. A client with a head injury
- D. A client with grand mal seizures
- E. A client with mild renal impairment
Correct Answer: A,C,D
Rationale: The use of opioids is contraindicated in clients with acute bronchial asthma, emphysema, upper airway obstruction, head injury, increased intracranial pressure, convulsive disorders, severe renal or hepatic dysfunction, and acute ulcerative colitis.
Prior to the administration of an opioid analgesic, the nurse should obtain which information from the client?
- A. Pain assessment
- B. Allergy history
- C. Health history
- D. Past medication history
- E. Current medication therapy
Correct Answer: A,B,C,D,E
Rationale: Prior to the administration of an opioid analgesic, the nurse should obtain information about the following: pain assessment, allergy history, health history, and past and current medication therapy.