A postoperative patient who received an intravenous infusion of morphine has a respiratory rate of 8 breaths per minute and is lethargic. Which as-needed medication should the nurse administer to the patient?

Methadone

Nalbuphine

Tramadol

Naloxone

Answer and Explanation

The Correct Answer is D

Choice A rationale: Methadone is an opioid analgesic and may exacerbate respiratory depression. It is not typically used as an antidote for opioid overdose.
Choice B rationale: Nalbuphine is a partial opioid agonist-antagonist and may have less respiratory depressant effect than pure opioid agonists. However, naloxone is the specific opioid antagonist used in opioid overdose situations.
Choice C rationale: Tramadol is an opioid analgesic and may exacerbate respiratory depression. It is not typically used as an antidote for opioid overdose.
Choice D rationale: Naloxone is the opioid antagonist used to reverse opioid- induced respiratory depression. It should be administered in the case of opioid overdose.

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Correct Answer is B

Explanation

Choice A rationale: Administering the medication with an empty stomach may enhance absorption but is not the best strategy for addressing "on-off" episodes.
Choice B rationale: The correct answer. High-protein foods can interfere with the absorption of levodopa, leading to "on-off" episodes.
Choice C rationale: Vitamin B6 supplementation is not typically used to address "on- off" episodes associated with levodopa/carbidopa.
Choice D rationale: Discontinuing the drug for 10 days (a "drug holiday") is not recommended and may result in a worsening of symptoms.

A. 1500 mg B. 2000 mg C. 4000 mg D. 5000 mg

Correct Answer is C

Explanation

Choice A rationale: 1500 mg is below the recommended maximum dose of acetaminophen.
Choice B rationale: 2000 mg is below the recommended maximum dose of acetaminophen.
Choice C rationale: The maximum recommended dose of acetaminophen in a 24-hour period is 4000 mg.
Choice D rationale: 5000 mg exceeds the recommended maximum dose of acetaminophen and can lead to liver damage.

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A postoperative patient who received an intravenous infusion of morphine has a respiratory rate of 8 breaths per minute and is lethargic. Which as-needed medication should the nurse administer to the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient taking levodopa/carbidopa for Parkinson disease experiences frequent "on-off" episodes (ie, the abrupt loss of effects) Which action by the nurse is best?

Correct Answer is B

Explanation

What is considered the maximum dose in 24 hours of acetaminophen?

Correct Answer is C

Explanation

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