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
Explanation
Choice A rationale: Alprazolam (Xanax) exerts its therapeutic effect by interacting with gamma-aminobutyric acid (GABA) receptors, leading to anxiolytic and sedative effects.
Choice B rationale: Norepinephrine is not the primary neurotransmitter affected by alprazolam.
Choice C rationale: Acetylcholine is not the primary neurotransmitter affected by alprazolam.
Choice D rationale: Serotonin (5-HT) is not the primary neurotransmitter affected by alprazolam.
Correct Answer is B
Explanation
Choice A rationale: Nasal congestion is a common side effect of alpha1-adrenergic blockers, not a cause for concern.
Choice B rationale: Orthostatic hypotension is a potential adverse effect of alpha1- adrenergic blockers like prazosin. It can lead to dizziness and falls, particularly when moving from a lying or sitting position to a standing one.
Choice C rationale: Inhibition of ejaculation is a potential side effect of alpha1- adrenergic blockers but is not of the most concern compared to orthostatic hypotension.
Choice D rationale: Reflex tachycardia is not a typical adverse effect of alpha1- adrenergic blockers.
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