NU129 Test 2 With Complete
Solution
A patient is prescribed opioid analgesic. During the initial interview with the
patient, the nurse understands that the patient chronically drinks alcohol.
Which of the following effect of the interaction between opioid analgesic and
alcohol should the nurse monitor for in the patient?
a. Sedation
b. Hypotension
c. Respiratory depression
d. Central nervous system depression - ANSWER d. Central nervous system
depression
Rationale:
The nurse should monitor the patient for central nervous system depression.
The nurse need not monitor the patient for respiratory depression,
hypotension, and sedation because these are the effects of interaction of
opioid analgesic with barbiturates, not alcohol.
Which of the following conditions would occur due to the administration of
an opioid antagonist in a patient who is physically dependent on opioids?
a. Insomnia
b. Hypotension
c. Withdrawal symptoms
,d. Drowsiness - ANSWER c. Withdrawal symptoms
Rationale:
Opioid antagonists produce withdrawal symptoms in patients who are
physically dependent on opioids. Drowsiness, hypotension, and insomnia do
not occur in opioid dependent patients who are administered opioid
antagonists.
When administering an opioid antagonist drug to a client, the primary goal
of the therapy is to provide which of the following?
a. A return to normal respiratory rate, rhythm, and depth
b. A reduction in the client's rating of their pain
c. Promote alertness and improve memory function
d. Management of alcohol withdrawal symptoms - ANSWER b. A return to
normal respiratory rate, rhythm, and depth
Rationale:
The primary reason for administering an opioid antagonist is because the
client is experiencing respiratory depression. Therefore, the goal is to
improve the client's respiratory rate, rhythm, and depth. None of the other
options is part of the drug therapy.
A patient with respiratory depression is administered an opioid antagonist by
the nurse. What ongoing assessment should the nurse perform when
administering the opioid antagonist to the patient?
a. Monitor the blood pH level of the patient
b. Monitor vital signs every 5 to 15 minutes
,c. Teach different breathing patterns to the patient
d. Review allergy history and other treatment modalities - ANSWER b.
Monitor vital signs every 5 to 15 minutes.
Rationale:
The ongoing assessment performed by the nurse when administering an
opioid antagonist to the patient involves monitoring the vital signs of the
patient every 5 to 15 minutes. Monitoring the blood pH level of the patient is
not a part of the ongoing assessment. Reviewing the allergy history and
other treatment modalities and coaching different breathing patterns to the
patient are pre-administration assessments that are performed before the
administration of the drug; they are not ongoing assessments.
Which of the following can occur if the nurse administers naloxone (Narcan)
as a rapid IV bolus? Select all that apply:
a. Respiratory depression
b. Withdrawal
c. Intense pain
d. Hypotension
e. Vomiting - ANSWER b. Withdrawal
c. Intense pain
d. Vomiting
, Rationale:
Withdrawal, return of intense pain, and vomiting may occur if the nurse
administers naloxone (Narcan) as a rapid IV bolus.
How quickly does naloxone (Narcan) work to reverse opioid induced
respiratory depression? (Choose one)
a. 30 to 60 minutes
b. 1 to 2 minutes
c. 10 to 15 minutes
d. 15 to 30 minutes - ANSWER b. 1 to 2 minutes
Rationale:
Naloxone is capable of restoring respiratory function within 1 to 2 minutes of
administration.
Keith, 12 years old, is seen in the emergency department for a severe
sunburn. He is complaining of pain, which he rates 7/10. What type of pain is
he suffering from?
a. Superficial somatic pain
b. Neuropathic pain
Solution
A patient is prescribed opioid analgesic. During the initial interview with the
patient, the nurse understands that the patient chronically drinks alcohol.
Which of the following effect of the interaction between opioid analgesic and
alcohol should the nurse monitor for in the patient?
a. Sedation
b. Hypotension
c. Respiratory depression
d. Central nervous system depression - ANSWER d. Central nervous system
depression
Rationale:
The nurse should monitor the patient for central nervous system depression.
The nurse need not monitor the patient for respiratory depression,
hypotension, and sedation because these are the effects of interaction of
opioid analgesic with barbiturates, not alcohol.
Which of the following conditions would occur due to the administration of
an opioid antagonist in a patient who is physically dependent on opioids?
a. Insomnia
b. Hypotension
c. Withdrawal symptoms
,d. Drowsiness - ANSWER c. Withdrawal symptoms
Rationale:
Opioid antagonists produce withdrawal symptoms in patients who are
physically dependent on opioids. Drowsiness, hypotension, and insomnia do
not occur in opioid dependent patients who are administered opioid
antagonists.
When administering an opioid antagonist drug to a client, the primary goal
of the therapy is to provide which of the following?
a. A return to normal respiratory rate, rhythm, and depth
b. A reduction in the client's rating of their pain
c. Promote alertness and improve memory function
d. Management of alcohol withdrawal symptoms - ANSWER b. A return to
normal respiratory rate, rhythm, and depth
Rationale:
The primary reason for administering an opioid antagonist is because the
client is experiencing respiratory depression. Therefore, the goal is to
improve the client's respiratory rate, rhythm, and depth. None of the other
options is part of the drug therapy.
A patient with respiratory depression is administered an opioid antagonist by
the nurse. What ongoing assessment should the nurse perform when
administering the opioid antagonist to the patient?
a. Monitor the blood pH level of the patient
b. Monitor vital signs every 5 to 15 minutes
,c. Teach different breathing patterns to the patient
d. Review allergy history and other treatment modalities - ANSWER b.
Monitor vital signs every 5 to 15 minutes.
Rationale:
The ongoing assessment performed by the nurse when administering an
opioid antagonist to the patient involves monitoring the vital signs of the
patient every 5 to 15 minutes. Monitoring the blood pH level of the patient is
not a part of the ongoing assessment. Reviewing the allergy history and
other treatment modalities and coaching different breathing patterns to the
patient are pre-administration assessments that are performed before the
administration of the drug; they are not ongoing assessments.
Which of the following can occur if the nurse administers naloxone (Narcan)
as a rapid IV bolus? Select all that apply:
a. Respiratory depression
b. Withdrawal
c. Intense pain
d. Hypotension
e. Vomiting - ANSWER b. Withdrawal
c. Intense pain
d. Vomiting
, Rationale:
Withdrawal, return of intense pain, and vomiting may occur if the nurse
administers naloxone (Narcan) as a rapid IV bolus.
How quickly does naloxone (Narcan) work to reverse opioid induced
respiratory depression? (Choose one)
a. 30 to 60 minutes
b. 1 to 2 minutes
c. 10 to 15 minutes
d. 15 to 30 minutes - ANSWER b. 1 to 2 minutes
Rationale:
Naloxone is capable of restoring respiratory function within 1 to 2 minutes of
administration.
Keith, 12 years old, is seen in the emergency department for a severe
sunburn. He is complaining of pain, which he rates 7/10. What type of pain is
he suffering from?
a. Superficial somatic pain
b. Neuropathic pain
