A nurse is reviewing the medication list of a client who has chronic pain and takes oxycodone, a Schedule II medication, on a regular basis. The nurse should monitor the client for which of the following adverse effects of oxycodone?
Constipation
Hypertension
Tachycardia
Diarrhea
The Correct Answer is A
Correct answer: a) Constipation
Rationale: Oxycodone is an opioid analgesic that acts on the central nervous system to relieve pain. It also has peripheral effects, such as decreasing gastrointestinal motility and secretion, which can cause constipation. The nurse should advise the client to increase fluid and fiber intake, exercise regularly, and use stool softeners or laxatives as needed to prevent or treat constipation.
Incorrect choices:
b) Hypertension: Oxycodone can cause hypotension, not hypertension, due to its vasodilatory effect.
c) Tachycardia: Oxycodone can cause bradycardia, not tachycardia, due to its vagal stimulation effect.
d) Diarrhea: Oxycodone can cause constipation, not diarrhea, due to its decreased gastrointestinal motility and secretion effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct answer: a) Naloxone
Rationale: Naloxone is an opioid antagonist that binds to opioid receptors and displaces opioids from them, thereby reversing their effects. It is used as an antidote for opioid overdose and can rapidly restore respiration and consciousness.
Incorrect choices:
b) Flumazenil: This is a benzodiazepine antagonist that reverses the effects of benzodiazepines, not opioids.
c) Acetylcysteine: This is an antidote for acetaminophen overdose, not opioid overdose.
d) Physostigmine: This is an antidote for anticholinergic overdose, not opioid overdose.
Correct Answer is B
Explanation
Correct answer: b)It can be prescribed by telephone or fax in an emergency.
Rationale: Schedule II medications are those with a high potential for abuse and dependence, but have accepted medical uses. They require a written prescription from a licensed prescriber, except in an emergency situation when a telephone or fax order is allowed. However, the written prescription must follow within 72 hours. Schedule II medications cannot be refilled; a new prescription is required for each dispensing.
Incorrect choices:
a) It can be refilled up to five times within six months.: This is true for Schedule III and IV medications, not Schedule II.
c) It can be obtained without a prescription for medical use.: This is true for Schedule V medications, not Schedule II.
d) It can be dispensed by any healthcare provider.: Only licensed prescribers with a DEA number can prescribe controlled substances.
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