Chapter 15, Opioid Analgesics TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. The nurse is assessing a client who is prescribed an opioid analgesic. The nurse will monitor the client for which reaction if the client reveals the chronic use of alcohol? A) Respiratory depression B) Central nervous system depression C) Hypotension D) Sedation Answer: B Rationale: The nurse should monitor the client for central nervous system depression. The nurse does not need to monitor the client for respiratory depression, hypotension, or sedation because these are the effects of the interaction of opioid analgesics with barbiturates, not effects of alcohol. Question Format: Multiple Choice Chapter: 15 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 193, Interactions 2. A nurse is assessing a client who is to receive an opioid analgesic. The nurse would contact the primary health care provider immediately if which events occur? Select all that apply. A) Respiratory rate of less than 10 breaths/min B) Decrease in pulse C) Increase in pulse D) Increase in blood pressure E) Blood pressure of 90/65 mm Hg Answer: A, B, C, E Rationale: The nurse should contact the primary health care provider immediately if any of the following occur while a client is receiving an opioid analgesic: significant decrease in respiratory rate or a respiratory rate less than 10 breaths/min; significant increase or decrease in the pulse rate or a change in the pulse quality; or significant decrease in blood pressure or a systolic blood pressure below 100 mm Hg. Question Format: Multiple Select Chapter: 15 TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford Learning Objective: 3 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 199, Monitoring and Managing Client Needs 3. A client is receiving an opioid analgesic. Assessment reveals that the respiratory rate has dropped. Which steps would the nurse expect to implement? Select all that apply. A) Oxygen administration B) Coaching of the client to breathe C) Discontinuation of the opioid analgesic D) Naloxone administration E) Albuterol administration