Opioids
A 65-year-old client with metastatic cancer reports severe pain rated 9/10. The provider has prescribed morphine sulfate 4 mg IV every 4 hours as needed for pain. Before administering the morphine, which assessment should the nurse complete first?
.
apical pulse and compare it with the radial pulse.
Blood pressure
Temperature
Respiratory rate, depth, and rhythm
D
.............
free points
A client with a history of opioid dependence is brought to the emergency department unresponsive. The healthcare provider orders naloxone (Narcan). Within minutes of administration, the client becomes restless and complains of abdominal cramping and nausea.
The nurse recognizes these findings are consistent with which condition?
Acute opioid withdrawal
Opioid toxicity
Respiratory depression
Hypersensitivity reaction
A
An automobile worker visits an occupational health nurse. He has pain in his right hand due to repetitive movements, for which he has been taking aspirin 650 mg every 2 hours. Which of the following symptoms is indicative of ototoxicity?
Tinnitus
Halos around lights
Edema
Dysrhythmia
A
A nurse is reviewing the medication history of a client prescribed acetaminophen 650 mg every 6 hours as needed for pain. Which statement by the client would require immediate follow-up by the nurse?
“I take my acetaminophen with food so it doesn’t upset my stomach.”
“I usually drink two or three beers every evening after work.”
“I’ve been taking my blood pressure medicine every morning as prescribed.”
“Sometimes I use a heating pad for my back pain.”
B
The nurse monitors a postoperative client who received morphine for pain control. Which finding indicates the most serious adverse effect requiring immediate intervention?
Pruritus and flushed skin
urinary retention and constipation
Respiratory rate of 8/min with shallow breaths
Nausea and vomiting
C
Aspirin can be given to clients for its antiplatelet effects to reduce the risk of which of the following conditions? Select all that apply.
Acute myocardial infarction
Osteoarthritis
Transient ischemic attack
Ischemic stroke
Fever
A C D
A nurse is reinforcing teaching for a client newly prescribed both regular insulin and NPH insulin. Which statement by the client indicates a need for further teaching?
“I’ll take my regular insulin about 30 minutes before I eat.”
“The NPH insulin helps control my blood sugar later in the day.”
“If I skip breakfast, I should still take both insulins at the same time.”
“I’ll gently roll the NPH insulin vial before drawing it up.”
C
You are to give dexamethasone 5mg. Available is oral solution of dexamethasone 20 mg per 5 ml. You would give how many ml(s)? (Round to nearest tenth)
1.3mL
Antipyretic drugs, such as aspirin, ibuprofen, and acetaminophen, often are used to alleviate the discomforts of fever and protect vulnerable organs, such as the brain, from extreme elevations in body temperature. However, the use of aspirin in children is limited due to the possibility of what disease?
Munchausen syndrome
Guillain-Barre syndrome
Angelman syndrome
Reye syndrome
D
A nurse is preparing to administer lispro insulin to a hospitalized client. Breakfast trays have been delayed. Which action should the nurse take?
Administer the insulin as scheduled to maintain blood glucose control.
Hold the insulin until the client’s meal arrives.
Give half the dose now and half when the food arrives.
Mix the lispro with NPH insulin and give it now.
B