A client is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Which class of analgesics did this client most likely receive?

Non-steroidal anti-inflammatory drugs

Cyclooxygenase-2 inhibitors

Opioid analgesics

Non-opioid pain medications

Answer and Explanation

The Correct Answer is C

A. Non-steroidal anti-inflammatory drugs: These typically cause gastrointestinal upset and potential bleeding but are less likely to cause respiratory depression, constipation, or hypotension.
B. Cyclooxygenase-2 inhibitors: These are a subset of NSAIDs with fewer gastrointestinal side effects but do not generally cause respiratory depression or hypotension.
C. Opioid analgesics: This is the correct choice. Opioid analgesics are known to cause respiratory depression, constipation, nausea, vomiting, and hypotension.
D. Non-opioid pain medications: These include medications like acetaminophen and NSAIDs, which are less likely to cause respiratory depression or hypotension.

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Correct Answer is D

Explanation

A. Administer 10% sodium chloride via rapid infusion: Rapid infusion of high concentrations of sodium chloride can be dangerous and is not the standard treatment for severe hyponatremia.
B. Administer intranasal antidiuretic hormone: This would not be appropriate for correcting severe hyponatremia and could potentially worsen the condition.
C. Encourage oral fluid intake: For severe hyponatremia, oral fluid intake might not be sufficient and could exacerbate the condition if there is fluid overload.
D. Place the client on seizure precautions: This is the correct choice. Severe hyponatremia (sodium < 120 mEq/L) can lead to neurological symptoms and seizures, so implementing seizure precautions is crucial for safety.

A. Capillary refill and depth of peripheral edema B. Abdominal sounds and obtain a BNP level C. Neurological status and obtain electrolyte levels D. Skin turgor and measure intake & output (I&O)

Correct Answer is C

Explanation

A. Capillary refill and depth of peripheral edema: While these assessments are important for evaluating peripheral circulation and fluid status, they are not as immediately critical given the client's new onset of confusion and respiratory symptoms.
B. Abdominal sounds and obtain a BNP level: Assessing abdominal sounds and BNP (B-type natriuretic peptide) levels is useful for diagnosing heart failure exacerbations but is secondary to addressing the client's acute confusion and potential electrolyte imbalances.
C. Neurological status and obtain electrolyte levels: This is the correct choice. New onset confusion can be indicative of electrolyte imbalances or acute exacerbations related to heart failure. Monitoring neurological status and electrolyte levels is crucial to address potential causes of confusion and ensure proper treatment.
D. Skin turgor and measure intake & output (I&O): While skin turgor and I&O are relevant for assessing fluid status, the priority should be addressing the acute change in mental status and potential underlying causes such as electrolyte imbalances.

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A client is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Which class of analgesics did this client most likely receive?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is C

Explanation

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