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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Protamine sulfate is used to reverse the anticoagulant effects of heparin, not the effects of alprazolam.
Choice B rationale: Acetylcysteine is the antidote for acetaminophen (paracetamol) overdose and is not effective for alprazolam overdose.
Choice C rationale: Naloxone is an opioid antagonist and is not effective for benzodiazepine overdose.
Choice D rationale: This is correct. Flumazenil is a specific antagonist for benzodiazepines and can be used to reverse the sedative effects of alprazolam in the case of overdose.
Correct Answer is B
Explanation
Choice A rationale: Loxapine is not specifically associated with blood monitoring; clozapine, however, requires monitoring due to the risk of agranulocytosis.
Choice B rationale: Clozapine is an atypical antipsychotic known for its potential to cause agranulocytosis, necessitating regular blood monitoring.
Choice C rationale: Thiothixene is not typically associated with blood monitoring.
Choice D rationale: Haloperidol is not specifically associated with blood monitoring in the same way as clozapine.
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