NU129 Test 2 exam with correct answers |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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
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b. Hypotension
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c. Respiratory depression
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d. Central nervous system depression - correct 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.
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Which of the following conditions would occur due to the administration of an opioid
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antagonist in a patient who is physically dependent on opioids? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Insomnia
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b. Hypotension
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c. Withdrawal symptoms
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d. Drowsiness - correct answer✔✔c. Withdrawal symptoms
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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.
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,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
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b. A reduction in the client's rating of their pain
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c. Promote alertness and improve memory function
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d. Management of alcohol withdrawal symptoms - correct 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.
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A patient with respiratory depression is administered an opioid antagonist by the nurse. What
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ongoing assessment should the nurse perform when administering the opioid antagonist to the
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patient?
|||\\\
a. Monitor the blood pH level of the patient
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b. Monitor vital signs every 5 to 15 minutes
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c. Teach different breathing patterns to the patient
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d. Review allergy history and other treatment modalities - correct 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 - correct 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
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b. 1 to 2 minutes
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c. 10 to 15 minutes
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d. 15 to 30 minutes - correct 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 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct 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? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
