UWorldvnNCLEX-RNvnPharmacology
Naloxonevn-vncorrectvnanswer✔ ✔ (narcan)vnopioidvnantagonist
-counteractsvnthevneffectsvnofvnopioids/vnpost-opvnanesthesia/vnover-sedationvn
-shortvnhalflifevn(wearsvnoffvninvn1-2h)
-
importantvntovnassessvnrespiratoryvnstatusvnatvn1vnhvnpostvnadministrationvnandvn
performvnappropriatevnaction(s)
Opioidvnanalgesics:vnsidevneffectsvn-vncorrectvnanswer✔ ✔ sedation
hypotension/vnorthostaticvnhypotensionvn
N/Vvn(short-termvneffect)
constipationvn(long-termvneffect)
respiratoryvndepression
codeinevnisvnanvn-vncorrectvnanswer✔ ✔ opioid
______positionvnwillvndecreasevnnauseavn-vncorrectvnanswer✔ ✔
still,vnsupine
(anti-emeticvnmayvnbevnnecessaryvninitially)
,Opioidvnanalgesics:vnnursingvnindicationsvn-vncorrectvnanswer✔ ✔ -
monitorvnsedationvnlevel
-instructvnptvnnotvntovngetvnoutvnofvnbedvnunassistedvn
-administervnPRNvnstoolvnsofteners
Itvnisvnmostvnimportantvnforvnthevnnursevntovnmonitorvn_______vnwhenvnavnptvnisv
ntakingvnopioidvnanalgesics;vnnotifyvnthevnHCPvnifvnthevnpt:vnA.vn___________
__vnorvnB.vn_____________vn-vncorrectvnanswer✔ ✔ sedationvnlevel
A.vnfallsvnasleepvnduringvnconversation
B.vnhasvnminimalvnorvnnovnresponsevntovnverbalvnorvnphysicalvnstimuli
Ifvnthevnptvnfallsvnasleepvnduringvnconversation:vn-vncorrectvnanswer✔ ✔
monitorvnrespiratoryvnstatusvnandvnnotifyvnHCPvntovndecreasevnsedationvnbyv
n25-50%
(slightlyvndrowsyvnisvnacceptable/normal)
Ifvnptvnhasvnminimalvnorvnnovnresponsevntovnverbal/physicalvnstimuli:vn-
vncorrectvnanswer✔ ✔
stopvnsedation,vnconsidervnusingvnnaloxone,vnnotifyvnHCP,vnmonitorvnrespir
atoryvnstatus
,Ptsvnatvnhighvnriskvnforvnrespiratoryvndepressionvnassociatedvnw/vnopioidvnanalg
esics:vn-vncorrectvnanswer✔ ✔ -advancedvnage
-surgeryvnw/invn24vnh
-COPD/vnunderlyingvnpulmonaryvndisease
-smoking
-snoring
-obesity
-opiatevnnaive
IVvnhydromorphonevnshouldvnbevngivenvn_______,vnovervn______-
______vnminutesvn-vncorrectvnanswer✔ ✔ slowly,vn2-3vnminutes
HoldvnmorphinevnifvnRRvnisvnlessvnthanvn-vncorrectvnanswer✔ ✔ 12
PtvnprescribedvnIVvnPCA,vnbutvnstillvnhasvnavnlotvnofvnpain-vn-vncorrectvnanswer
✔ ✔ preformvnthoroughvnpainvnassessment
ExtendedvnreleasevnOxycodonevnorvnOxycontin,vnavnlong-
actingvnopioidvnanalgesic,vnisvngivenvnwhenvnimmediatevnreleasevnopioidsvnare
vninadequatevnforvnpainvnmanagement;vntheyvnshouldvnbevnadministeredvn____
______,vnevenvnifvnthevnptvndeniesvn________vn-vncorrectvnanswer✔ ✔
around-the-clock
painvn
, (effectivevnforvn12vnh;vnadministeredvn2xvndaily)
*tolerancevnandvndependencevnisvndevelopedvnandvnhighervndosesvnarevneventu
allyvnrequiredvntovnachievevntherapeuticvneffect
NSAIDsvn-vncorrectvnanswer✔ ✔ -naproxenvn(Aleve)
-ibuprofenvn(Advil)
-idomethacinvn(Tivorbex)
-ketorlacvn(Toradol)vn*potent*
ComplicationsvnassociatedvnwithvnNSAIDsvn-vncorrectvnanswer✔ ✔ -
GIvntoxicity:vndyspepsia,vnpepticvnulcers,vnpain,vnbleedingvn(reportvnblackvntar
ryvnstoolvnandvntakevnmedvnw/vnfood)
-
Nephrotoxicity:vn(associatedvnw/vnlongvntermvnuse;vncanvnleadvntovnAKIvnandvn
CKD)
-
HTNvnandvnHF:vnNSAIDsvncanvncausevnfluidvnretentionvnwhichvncanvnexacerb
atevnHF,vnHTN,vnandvnascites,vnorvnleadvntovnMI,vnorvnstroke
Naloxonevn-vncorrectvnanswer✔ ✔ (narcan)vnopioidvnantagonist
-counteractsvnthevneffectsvnofvnopioids/vnpost-opvnanesthesia/vnover-sedationvn
-shortvnhalflifevn(wearsvnoffvninvn1-2h)
-
importantvntovnassessvnrespiratoryvnstatusvnatvn1vnhvnpostvnadministrationvnandvn
performvnappropriatevnaction(s)
Opioidvnanalgesics:vnsidevneffectsvn-vncorrectvnanswer✔ ✔ sedation
hypotension/vnorthostaticvnhypotensionvn
N/Vvn(short-termvneffect)
constipationvn(long-termvneffect)
respiratoryvndepression
codeinevnisvnanvn-vncorrectvnanswer✔ ✔ opioid
______positionvnwillvndecreasevnnauseavn-vncorrectvnanswer✔ ✔
still,vnsupine
(anti-emeticvnmayvnbevnnecessaryvninitially)
,Opioidvnanalgesics:vnnursingvnindicationsvn-vncorrectvnanswer✔ ✔ -
monitorvnsedationvnlevel
-instructvnptvnnotvntovngetvnoutvnofvnbedvnunassistedvn
-administervnPRNvnstoolvnsofteners
Itvnisvnmostvnimportantvnforvnthevnnursevntovnmonitorvn_______vnwhenvnavnptvnisv
ntakingvnopioidvnanalgesics;vnnotifyvnthevnHCPvnifvnthevnpt:vnA.vn___________
__vnorvnB.vn_____________vn-vncorrectvnanswer✔ ✔ sedationvnlevel
A.vnfallsvnasleepvnduringvnconversation
B.vnhasvnminimalvnorvnnovnresponsevntovnverbalvnorvnphysicalvnstimuli
Ifvnthevnptvnfallsvnasleepvnduringvnconversation:vn-vncorrectvnanswer✔ ✔
monitorvnrespiratoryvnstatusvnandvnnotifyvnHCPvntovndecreasevnsedationvnbyv
n25-50%
(slightlyvndrowsyvnisvnacceptable/normal)
Ifvnptvnhasvnminimalvnorvnnovnresponsevntovnverbal/physicalvnstimuli:vn-
vncorrectvnanswer✔ ✔
stopvnsedation,vnconsidervnusingvnnaloxone,vnnotifyvnHCP,vnmonitorvnrespir
atoryvnstatus
,Ptsvnatvnhighvnriskvnforvnrespiratoryvndepressionvnassociatedvnw/vnopioidvnanalg
esics:vn-vncorrectvnanswer✔ ✔ -advancedvnage
-surgeryvnw/invn24vnh
-COPD/vnunderlyingvnpulmonaryvndisease
-smoking
-snoring
-obesity
-opiatevnnaive
IVvnhydromorphonevnshouldvnbevngivenvn_______,vnovervn______-
______vnminutesvn-vncorrectvnanswer✔ ✔ slowly,vn2-3vnminutes
HoldvnmorphinevnifvnRRvnisvnlessvnthanvn-vncorrectvnanswer✔ ✔ 12
PtvnprescribedvnIVvnPCA,vnbutvnstillvnhasvnavnlotvnofvnpain-vn-vncorrectvnanswer
✔ ✔ preformvnthoroughvnpainvnassessment
ExtendedvnreleasevnOxycodonevnorvnOxycontin,vnavnlong-
actingvnopioidvnanalgesic,vnisvngivenvnwhenvnimmediatevnreleasevnopioidsvnare
vninadequatevnforvnpainvnmanagement;vntheyvnshouldvnbevnadministeredvn____
______,vnevenvnifvnthevnptvndeniesvn________vn-vncorrectvnanswer✔ ✔
around-the-clock
painvn
, (effectivevnforvn12vnh;vnadministeredvn2xvndaily)
*tolerancevnandvndependencevnisvndevelopedvnandvnhighervndosesvnarevneventu
allyvnrequiredvntovnachievevntherapeuticvneffect
NSAIDsvn-vncorrectvnanswer✔ ✔ -naproxenvn(Aleve)
-ibuprofenvn(Advil)
-idomethacinvn(Tivorbex)
-ketorlacvn(Toradol)vn*potent*
ComplicationsvnassociatedvnwithvnNSAIDsvn-vncorrectvnanswer✔ ✔ -
GIvntoxicity:vndyspepsia,vnpepticvnulcers,vnpain,vnbleedingvn(reportvnblackvntar
ryvnstoolvnandvntakevnmedvnw/vnfood)
-
Nephrotoxicity:vn(associatedvnw/vnlongvntermvnuse;vncanvnleadvntovnAKIvnandvn
CKD)
-
HTNvnandvnHF:vnNSAIDsvncanvncausevnfluidvnretentionvnwhichvncanvnexacerb
atevnHF,vnHTN,vnandvnascites,vnorvnleadvntovnMI,vnorvnstroke
