Nokea
A nurse is assessing a client receiving an opioid as treatment for diarrhea. The nurse would notify the primary health care provider immediately if which of the following occur?
- A. Constipation
- B. Blood noted in the stool
- C. Worsening of diarrhea
- D. Report of severe abdominal pain
- E. Diarrhea unrelieved
Correct Answer: B,C,D,E
Rationale: A nurse monitoring a client taking an opioid for diarrhea should notify the physician immediately if diarrhea is not relieved or becomes worse, if the client has severe abdominal pain, or if blood in the stool is noted.
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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.
To decrease the risk of injury to a client taking an opioid, which action would be most appropriate?
- A. Keep the lights in the client's room turned down.
- B. Assist the client from the bed to the toilet.
- C. Assist the client with rising Ang from a lying position.
- D. Assist the client with hall-walking activities.
- E. Advise the client to stay in bed all night.
Correct Answer: B,C,D
Rationale: To decrease the risk of injury to a client taking an opioid, the nurse should assist the client with ambulatory activities and with rising from a sitting or lying position. The nurse should also keep the client's room well lit during daytime hours, keep the client's room free of clutter, and advise the client to seek assistance when getting out of bed at night.
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.
A nurse is reviewing the differences between opioid agonists and opioid agonist-antagonists. The nurse correctly identifies which of the following as an opioid agonist-antagonist?
- A. Alfentanil (Alfenta)
- B. Buprenorphine (Buprenex)
- C. Meperidine (Demerol)
- D. Nalbuphine (Nubain)
- E. Pentazocine (Talwin)
Correct Answer: B,D,E
Rationale: Opioid agonist-antagonists include buprenorphine, butorphanol, nalbuphine, and pentazocine.
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.