Nokea
After teaching a group of nursing students about opioids, the instructor determines that additional teaching is needed when the students identify which of the following as a natural opioid?
- A. Meperidine
- B. Morphine
- C. Codeine
- D. Opium
Correct Answer: A
Rationale: Meperidine is a synthetic opioid. Natural opioids include morphine sulfate, codeine, opium alkaloids, and tincture of opium.
You may also like to solve these questions
A nurse is caring for a client who has been prescribed an opioid. Which of the following would the nurse include in the ongoing assessment?
- A. Review the client's health history.
- B. Review the client's allergy history.
- C. Inquire about the pain experienced by the client.
- D. Review the client's past and current drug therapies.
Correct Answer: C
Rationale: As part of the ongoing assessment, the nurse should inquire about the pain experienced by the client and believe the client and family in their reports of pain. The nurse must exercise good judgment because not all changes in pain type, location, or intensity require notifying the primary health care provider.
A nurse is caring for a client with pain caused by terminal illness. The primary care provider has prescribed an opioid for the client. The nurse would be alert for the development of which of the following?
- A. Emphysema
- B. Alopecia
- C. Dehydration
- D. Severe anorexia
Correct Answer: D
Rationale: The nurse should monitor the client for severe anorexia, which is one of the adverse reactions of opioid analgesics on the GI system. Other adverse effects on the GI system include constipation, nausea, and acute abdominal pain. The nurse need not monitor the client for emphysema, alopecia, or severe headache.
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 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 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.