BSN 315 HESI
| 2025/2026 | Verified Questions &
Answers | Complete Study Guide
, BSN 315 HESI
Study online at https://quizlet.com/_jqhrq1
1. A client with open-angle glau- C.
coma is using pilocarpine
ophthalmic solution, a miotic Pilocarpine reduce intraocular pressure by contracting the cil-
agent. Which action should the iary muscle and increasing aqueous humor outflow through
nurse at the eye clinic include in the trabecular meshwork. Monitoring intraocular pressure is
evaluating the effectiveness of the most accurate way to evaluate the drug's effectiveness.
the Medication?
Pilocarpin is a cholinergic (parasympathominetic) drug that
A. Check amoun of drainage mimics acetylcholine by stimulating muscarinic receptors.
from each eye.
Use in glaucoma to lower intraocular pressure by increasing
B. Use snellen chart to assess
aqueous humor outflow. It stimulates muscarinic receptors.
visual acuity.
C. Review eye pressure mea-
Causes pupil constriciton (miosis), increased gland secre-
surements.
tions (saliva, sweat), bronchoconstriction, and increase GI
D. Palpate eyelids for decreased
motility.
swelling.
Side Effects (Think: "SLUDGE"):
-salivation increase
-Lacrimation (tearing)
-Urination increase
-Diarrhea
-GI cramping
-Emesis (vomiting)
COntraindications/Caution:
-Asthma (can cause bronchoconstriction.
-Bradycardia
-Peptic ulcer disease
2. The client is a 42YO female who -Morphine is a PURE OPIOID Agonist
had a right above the knee am- -it activates MU receptors
putation for osteomyelitis. The -used to relieve ACUTE POSTOPERATIVE PAIN.
, BSN 315 HESI
Study online at https://quizlet.com/_jqhrq1
client has a drain in place and a
surgical dressing that will need Morphine is a pure opioid agonist, meaning it fully stimulates
to be changed by the surgeon opioid receptors, especially mu receptors, resulting in potent
on postoperative day 1. analgesia, sedation, and respiratory depression.
Exhibits: Mu opioid receptors are located in the CNS:
Then nurse is discussing the -Brainstem: controls respiration (key for respiratory depres-
client's pain management with sion)
a student nurse. -Thalamus and cerebral cortex (pain perception)
-Spinal cord (dorsal horn) and block pain transmission.
Choose the most likey options -Peripheral tissues such as the GI tract, bladder, and periph-
for the information missing eral sensory nerves.
from the statement(s) by select-
ing from the list of options pro- When activated by opioids like morphine, they causes thera-
vided. peutic effects (analgesia 'pain relief', euphoria, sedation)
Morphine is a(n)____ and it acti- Side effects:
vates ____ receptors and is used -Respiratory depression (most dangerous)
to relieve_____. -Constipation (decreased GI motility)
-Urinary retention
-Miosis (pinpoint pupils)
-Physical dependence
3. The client is a 42YO female who A, C, D
had a right above the knee am-
putation for osteomyelitis. The Ask the about other medications to know the client's full med-
client has a drain in place and a ication list helps identify potential drug interactions with mor-
surgical dressing that will need phine, such as other CNS depressants, which can increase the
to be changed by the surgeon risk of respiratory depression and sedation, ensuring safer
on postoperative day 1. administration.
Exhibits: Take an initial respiratory rate before and during morphine
Which actions should the nurse infusion is essential because opioids can depress respiration.
, BSN 315 HESI
Study online at https://quizlet.com/_jqhrq1
take to assure safety dur- Baseline respiratory assessment allows early detection of res-
ing morphine administration? piratory depression, enabling prompt intervention.
SATA
Have a manual resuscitation bag at the bedside to be avail-
A. Ask the client about other able to assist ventilation if the client develops respiratory
medications she takes. depression or apnea during opioid administration, ensuring
B. Suction the client to clear the rapid emergency response.
airway.
C. Take an initial respiratory
rate.
D. Have a manual resuscitation
nag at the bedside.
E. Perform a 12-lead electrocar-
diogram.
F. Restrain the client with soft
restraints.
4. The client is a 42YO female who A, C, D, E
had a right above the knee am-
putation for osteomyelitis. The Naloxone is an antidote to opioid overdose. It is given PRN
client has a drain in place and a to reverse respiratory depression or severe sedation caused
surgical dressing that will need by morphine, making it a critical safety medication in opioid
to be changed by the surgeon therapy.
on postoperative day 1.
Ibuprofen is an NSAID often prescribed alongside opioids to
Exhibits: provide additional pain relief through a different mechanism.
Which other medications would Combining NSAIDs with opioids can reduce opioid require-
the nurse expect the surgeon to ments and improve pain control.
prescribe along with morphine?
Docusate sodium is a stool softener RX prophylactically to pre-
SATA
vent constipation in patients receiving opioid therapy, making
A. Naloxone it a typical co-prescription.
| 2025/2026 | Verified Questions &
Answers | Complete Study Guide
, BSN 315 HESI
Study online at https://quizlet.com/_jqhrq1
1. A client with open-angle glau- C.
coma is using pilocarpine
ophthalmic solution, a miotic Pilocarpine reduce intraocular pressure by contracting the cil-
agent. Which action should the iary muscle and increasing aqueous humor outflow through
nurse at the eye clinic include in the trabecular meshwork. Monitoring intraocular pressure is
evaluating the effectiveness of the most accurate way to evaluate the drug's effectiveness.
the Medication?
Pilocarpin is a cholinergic (parasympathominetic) drug that
A. Check amoun of drainage mimics acetylcholine by stimulating muscarinic receptors.
from each eye.
Use in glaucoma to lower intraocular pressure by increasing
B. Use snellen chart to assess
aqueous humor outflow. It stimulates muscarinic receptors.
visual acuity.
C. Review eye pressure mea-
Causes pupil constriciton (miosis), increased gland secre-
surements.
tions (saliva, sweat), bronchoconstriction, and increase GI
D. Palpate eyelids for decreased
motility.
swelling.
Side Effects (Think: "SLUDGE"):
-salivation increase
-Lacrimation (tearing)
-Urination increase
-Diarrhea
-GI cramping
-Emesis (vomiting)
COntraindications/Caution:
-Asthma (can cause bronchoconstriction.
-Bradycardia
-Peptic ulcer disease
2. The client is a 42YO female who -Morphine is a PURE OPIOID Agonist
had a right above the knee am- -it activates MU receptors
putation for osteomyelitis. The -used to relieve ACUTE POSTOPERATIVE PAIN.
, BSN 315 HESI
Study online at https://quizlet.com/_jqhrq1
client has a drain in place and a
surgical dressing that will need Morphine is a pure opioid agonist, meaning it fully stimulates
to be changed by the surgeon opioid receptors, especially mu receptors, resulting in potent
on postoperative day 1. analgesia, sedation, and respiratory depression.
Exhibits: Mu opioid receptors are located in the CNS:
Then nurse is discussing the -Brainstem: controls respiration (key for respiratory depres-
client's pain management with sion)
a student nurse. -Thalamus and cerebral cortex (pain perception)
-Spinal cord (dorsal horn) and block pain transmission.
Choose the most likey options -Peripheral tissues such as the GI tract, bladder, and periph-
for the information missing eral sensory nerves.
from the statement(s) by select-
ing from the list of options pro- When activated by opioids like morphine, they causes thera-
vided. peutic effects (analgesia 'pain relief', euphoria, sedation)
Morphine is a(n)____ and it acti- Side effects:
vates ____ receptors and is used -Respiratory depression (most dangerous)
to relieve_____. -Constipation (decreased GI motility)
-Urinary retention
-Miosis (pinpoint pupils)
-Physical dependence
3. The client is a 42YO female who A, C, D
had a right above the knee am-
putation for osteomyelitis. The Ask the about other medications to know the client's full med-
client has a drain in place and a ication list helps identify potential drug interactions with mor-
surgical dressing that will need phine, such as other CNS depressants, which can increase the
to be changed by the surgeon risk of respiratory depression and sedation, ensuring safer
on postoperative day 1. administration.
Exhibits: Take an initial respiratory rate before and during morphine
Which actions should the nurse infusion is essential because opioids can depress respiration.
, BSN 315 HESI
Study online at https://quizlet.com/_jqhrq1
take to assure safety dur- Baseline respiratory assessment allows early detection of res-
ing morphine administration? piratory depression, enabling prompt intervention.
SATA
Have a manual resuscitation bag at the bedside to be avail-
A. Ask the client about other able to assist ventilation if the client develops respiratory
medications she takes. depression or apnea during opioid administration, ensuring
B. Suction the client to clear the rapid emergency response.
airway.
C. Take an initial respiratory
rate.
D. Have a manual resuscitation
nag at the bedside.
E. Perform a 12-lead electrocar-
diogram.
F. Restrain the client with soft
restraints.
4. The client is a 42YO female who A, C, D, E
had a right above the knee am-
putation for osteomyelitis. The Naloxone is an antidote to opioid overdose. It is given PRN
client has a drain in place and a to reverse respiratory depression or severe sedation caused
surgical dressing that will need by morphine, making it a critical safety medication in opioid
to be changed by the surgeon therapy.
on postoperative day 1.
Ibuprofen is an NSAID often prescribed alongside opioids to
Exhibits: provide additional pain relief through a different mechanism.
Which other medications would Combining NSAIDs with opioids can reduce opioid require-
the nurse expect the surgeon to ments and improve pain control.
prescribe along with morphine?
Docusate sodium is a stool softener RX prophylactically to pre-
SATA
vent constipation in patients receiving opioid therapy, making
A. Naloxone it a typical co-prescription.
