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 D

Explanation

Choice A rationale: Donepezil works by enhancing the action of acetylcholine, improving neuronal transmission, so this statement is accurate.
Choice B rationale: Upset stomach is a common side effect of donepezil, and the patient's awareness of this potential side effect indicates understanding.
Choice C rationale: Taking donepezil with food can reduce the risk of stomach upset, so this statement is appropriate.
Choice D rationale: Donepezil helps manage symptoms of Alzheimer's Disease but does not stop the progression or damage to neurons. Further education is needed on the realistic expectations of the medication.

A. Call your provider if it happens again. B. Stop the medication. C. Take the next dose with food. D. Move slowly when changing positions.

Correct Answer is A

Explanation

Choice A rationale: Loss of consciousness is a serious adverse reaction that should be reported to the healthcare provider. Instructing the wife to call the provider if it happens again is an appropriate response.
Choice B rationale: Stopping the medication without consulting the provider may not be advisable, as sudden discontinuation of some medications can have adverse effects.
Choice C rationale: Taking the next dose with food may be a general recommendation for some medications, but it does not directly address the issue of loss of consciousness.
Choice D rationale: While moving slowly when changing positions is a general recommendation for some medications, the immediate concern is the loss of consciousness, and contacting the provider is more appropriate.

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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 with mild symptoms of Alzheimer Disease is prescribed donepezil, Which statement made by the patient indicates the need for further teaching?

Correct Answer is D

Explanation

The client was prescribed Prazosin for benign prostatic hypertrophy (BPH). His wife calls saying he lost consciousness 60 minutes after taking his first dose. He is now alert and oriented but they are worried. The nurse should respond

Correct Answer is A

Explanation

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The nurse is setting up the patient-controlled analgesia device to deliver morphine for postoperative pain control recognizes the need for further teaching when the client states:

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