Nokea
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.
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A primary health care provider orders opioid antagonist treatment for a client with respiratory depression. The nurse should be aware of which of the following conditions that can occur during an abrupt reversal of opioid respiratory treatment?
- A. Dizziness
- B. Headache
- C. Vomiting
- D. Lightheadedness
Correct Answer: C
Rationale: The nurse should know that an abrupt reversal of opioid respiratory depression with an opioid antagonist results in vomiting. The nurse must maintain a patent airway and should turn and suction the client as needed in such cases. Headache, dizziness, and lightheadedness are not known to occur during an abrupt reversal of opioid respiratory treatment.
A nurse must be careful when administering opioid antagonists to clients taking which of the following?
- A. Codeine for cough
- B. Zolpidem for sleep
- C. Oxycodone for analgesia
- D. Naproxen for analgesia
- E. Diphenoxylate for diarrhea
Correct Answer: A,C,E
Rationale: Opioid antagonists may prevent the action or intended use of opioids like codeine for cough, oxycodone for analgesia, or diphenoxylate for diarrhea, so administration of opioid antagonists in clients taking these medications must be monitored carefully.
Which of the following can occur if the nurse administers naloxone (Narcan) as a rapid IV bolus?
- A. Withdrawal
- B. Intense pain
- C. Vomiting
- D. Hypotension
- E. Respiratory depression
Correct Answer: A,B,C
Rationale: Withdrawal, return of intense pain, and vomiting may occur if the nurse administers naloxone (Narcan) as a rapid IV bolus.
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.
A client is prescribed naloxone. The nurse would expect to administer the drug by which route?
- A. IM injection
- B. IV push
- C. Intrathecal injection
- D. IV piggyback
- E. Subcutaneous injection
Correct Answer: B,D
Rationale: Naloxone (Narcan) is administered by IV infusion requiring the use of a secondary line, an IV piggyback, or an IV push.