Pain questions
6 questions. Choose an answer to see the rationale.
Opioid analgesics and antagonists
After a dose of IV morphine, a patient is difficult to arouse with a respiratory rate of 8. What is the priority action?
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Answer A: Stimulate the patient, support breathing and give naloxone as ordered This is opioid-induced respiratory depression. Support the airway and breathing and give naloxone per protocol.
Opioid analgesics and antagonists
Which adverse effect of opioids does not lessen with continued use?
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Answer D: Constipation Tolerance develops to most opioid effects but not to constipation, so a bowel regimen is needed for the whole course.
Opioid analgesics and antagonists
Why must a patient who received naloxone be monitored closely?
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Answer A: Naloxone may wear off before the opioid, and sedation can return Naloxone's duration is shorter than that of many opioids, so respiratory depression can recur.
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Which finding in a patient taking ibuprofen daily should be reported?
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Answer D: Black, tarry stools Black, tarry stools suggest upper GI bleeding, a serious NSAID complication.
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What is the antidote for acetaminophen overdose?
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Answer A: Acetylcysteine Acetylcysteine replenishes glutathione and protects the liver after acetaminophen overdose.
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What is the maximum total duration of ketorolac therapy?
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Answer A: 5 days Ketorolac (all routes combined) is limited to 5 days because of the risk of GI bleeding and kidney injury.