Nokea
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.
You may also like to solve these questions
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 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 nurse is caring for a client who is prescribed an opioid analgesic by her primary health care provider. Which assessment finding would lead the nurse to suspect that the client is experiencing an adverse reaction?
- A. Decreased intracranial pressure
- B. Increased breathing rate
- C. Tachycardia
- D. Urinary frequency
Correct Answer: C
Rationale: The nurse should monitor the client for tachycardia, increased intracranial pressure, depressed breathing rate, and urinary retention as possible adverse reactions.
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.
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.