Adams Drugs Questions

  1. The nurse administers morphine sulfate 4mg IV to a patient for treatment of severe pain. Which of the following assessments require immediate nursing interventions?
    Select all that apply

    1) patient's blood pressure is 110/70 mmHg
    2) patient is drowsy
    3) pain is unrelieved in 15 minutes
    4) respiratory rate is 10 breaths per minute
    5) patient becomes unresponsive
    • 4,5
    • respiratory rate should remain above 12 breaths per minute

    patient may become drowsy but should not become unresponsive
  2. Nursing interventions for a patient receivng opioid analgesics over an extended period should include?

    1) referring the patient to a drug treatment center
    2) encouraging increased fluids and fiber in the diet
    3) monitor for GI bleeding
    4) teaching patient to assess blood pressure
    2) encouraging increased fluids and fiber in the diet

    Opioids supress intestinal contractility, increase anal sphincter tone, and inhibit fluids into the intestines, which can lead to constipation
  3. The most appropriate method to ensure adequate pain relief in the immediate postoperative period from an opioid drug would be to:

    1) give the drug only when the family members report that the patient is complaining of pain
    2) give the drug every time the patient complains of acute pain
    3) give the drug as consistently as possible for the first 24 to 48 hours
    4) give the drug only when the nurse observes signs and symptoms of pain
    3) give the drug as consistently as possible for the first 24 to 48 hours

    Opioid pain relievers should be give as consistantly as possable before the onset of acute pain unless the patients condition does not allow the consistent dosing (ex: vital signs are not stable)
  4. What is the Max dose of Toradol per day
    40 mg
  5. True or False
    Celebrex has anti-inflammatory properties.
  6. Naloxone (Narcon) is administered to a client with severe respiratory depression and suspected drug overdose. After 20 minuter, the client remains unresponsive. The most likely explanation for this is.

    1) The patient is resistant to this drug
    2) The drug overdose is irreversible
    3) the dose of naloxone was inadequate
    4) the patient did not use an opioid drug
    4) the patient did not use an opioid drug

    If opioid antagonist (Naloxone) fail to reverse sympotms of respiratory depression quickly, the overdose was likely due to an nonopioid substance
  7. The nurse should assess a patient who is taking lorazepam (Ativan) for the development of which of these adverse effects?

    1) tachypnea
    2) asigmatism
    3) ataxia
    4) euphoria
    3) ataxia

    CNS effects of lorazepam (ativan) include amnesia, weakness, disorientation, ataxia, blurred vision, dilopia, nausea, and vomiting
  8. A 32 year old patient has been taking lorazepam (ativan) for her anxiety and is brought into the emergency department after taking 30 days worth at one time. The antagonist used in some cases of benzodiazepine over dosage is:

    1) epinephrine
    2) atropine
    3) flumazenil
    4) naloxone
    3) flumazenil

    flumazenil (Romazicon) is a benzodiazepine receptor blocker which may be used to reverse CNS depression effects
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Adams Drugs Questions
Adams Drug Question