A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Nalbuphine
Acetaminophen
Ondansetron
Insulin glargine
The Correct Answer is A
Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes
Nursing Test Bank
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Related Questions
Correct Answer is A
Explanation
Nifedipine is a calcium channel blocker is used in the management of hypertension. It leads to vasodilation of blood vessels lowering blood pressure. Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. Therefore, the nurse should assess the client's blood pressure prior to administering nifedipine to ensure that it is within the therapeutic range and not too low, as nifedipine can cause hypotension (as a side effect.
B,C, D- Nifedipine has no effect on respiratory rate, temperature and oxygen saturation
Correct Answer is D
Explanation
Returning the mediation to the pharmacy allows for safe disposal A,B,C- Could lead to environmental contamination with potential hazards
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