administering fentanyl by transdermal patch, the nurse understands that
Respiratory depression can occur and persist for hours after patch removed
The drug is very safe when administered in this topical formulation
A heating pad can be used to augment pain relief
the patient will begin to experience pain relief within 30 minutes
The Correct Answer is A
Choice A rationale: Respiratory depression can occur and persist for hours after the removal of a fentanyl patch. It is crucial to monitor respiratory status closely and be aware of the potential delayed onset of respiratory depression.
Choice B rationale: Fentanyl, like any opioid, carries risks, and safety precautions should be observed. However, it is not completely without risks, especially in certain populations or situations.
Choice C rationale: Using a heating pad with a fentanyl patch is not recommended, as it can increase drug absorption and the risk of overdose.
Choice D rationale: Fentanyl patches have a delayed onset of action, and the patient will not experience immediate pain relief. It may take several hours for the full effect to be achieved after the application of the patch.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale: Meperidine can cause respiratory depression, leading to shallow breathing.
Choice B rationale: Diarrhea is not a common effect of meperidine.
Choice C rationale: Meperidine can cause urinary retention.
Choice D rationale: Meperidine can cause hypotension.
Correct Answer is A
Explanation
Choice A rationale: Patient-controlled analgesia (PCA) devices provide a controlled dose of medication when the patient presses the button. However, the onset of action for morphine is typically faster than 10 minutes.
Choice B rationale: PCA devices often have a lock-out period to prevent patients from administering too many doses too quickly and risking overdose.
Choice C rationale: Patient-controlled analgesia is designed for the patient to self- administer the medication. Allowing family members to press the button may lead to inaccurate dosing.
Choice D rationale: Morphine should be administered as needed, not preemptively.
Administering the medication 10 minutes before physical therapy could result in excessive sedation.
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