Exhibits

Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.

Naloxone

Propofol

Ibuprofen

Docusate sodium

Senna

Methadone

Answer and Explanation

Correct Answer : A,C,D,E

A. Naloxone: Naloxone is commonly prescribed as an antidote to opioid overdose, including morphine. It is given PRN to reverse respiratory depression or severe sedation caused by morphine, making it a critical safety medication in opioid therapy.

B. Propofol: Propofol is a general anesthetic used for sedation during procedures and is not routinely prescribed alongside morphine for postoperative pain management. Its use is limited to controlled settings such as surgery or ICU sedation, not typical postoperative care.

C. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) often prescribed alongside opioids to provide additional pain relief through a different mechanism. Combining NSAIDs with opioids can reduce opioid requirements and improve pain control.

D. Docusate sodium: Opioids like morphine commonly cause constipation. Docusate sodium is a stool softener prescribed prophylactically to prevent constipation in patients receiving opioid therapy, making it a typical co-prescription.

E. Senna: Senna is a stimulant laxative also frequently prescribed with opioids to promote bowel motility and prevent or treat opioid-induced constipation, supporting bowel function alongside stool softeners.

F. Methadone: Methadone is an opioid analgesic used for chronic pain or opioid dependency management. It is not routinely prescribed in the immediate postoperative period alongside morphine for acute pain control, so it would be unexpected here.

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Correct Answer is B

Explanation

A. Observe the client’s mucous membranes: While mucous membrane assessment can indicate hydration status, it is not the highest priority when managing fentanyl therapy, which primarily risks respiratory depression and sedation.

B. Assess the client’s level of consciousness (LOC): Fentanyl, a potent opioid, can cause sedation and respiratory depression. Monitoring LOC is critical to detect early signs of opioid toxicity and ensure patient safety.

C. Auscultate the client’s bowel sounds: Opioids can cause constipation by decreasing gastrointestinal motility, but bowel sounds assessment is secondary to monitoring respiratory and neurological status.

D. Record the client’s urinary output: Although opioids may affect urinary retention, urinary output monitoring is less immediately critical compared to assessing LOC and respiratory function with fentanyl use.

A. Ask the client about other medications she takes. B. Suction the client to clear the airway. C. Take an initial respiratory rate. D. Have a manual resuscitation bag at the bedside. E. Perform a 12-lead electrocardiogram. F. Restrain the client with soft restraints.

Correct Answer is ["A","C","D"]

Explanation

A. Ask the client about other medications she takes: Knowing the client’s full medication list helps identify potential drug interactions with morphine, such as other CNS depressants, which can increase the risk of respiratory depression and sedation, ensuring safer administration.

B. Suction the client to clear the airway: Suctioning is an intervention used if airway obstruction occurs, but it is not a routine action during morphine administration. It is reactive rather than preventive and should be performed only if the client shows signs of airway compromise.

C. Take an initial respiratory rate: Monitoring respiratory rate before and during morphine infusion is essential because opioids can depress respiration. Baseline respiratory assessment allows early detection of respiratory depression, enabling prompt intervention.

D. Have a manual resuscitation bag at the bedside: A manual resuscitation bag (Ambu bag) must be immediately available to assist ventilation if the client develops respiratory depression or apnea during opioid administration, ensuring rapid emergency response.

E. Perform a 12-lead electrocardiogram: A 12-lead ECG is not routinely indicated solely for morphine administration unless the client has a cardiac condition requiring monitoring. It is not a standard safety measure related to morphine infusion.

F. Restrain the client with soft restraints: Physical restraints are not routinely used for clients receiving morphine unless there is a specific behavioral risk or danger to self or others. Restraints can increase fall risk and are not a standard safety action during opioid administration.

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Exhibits Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is receiving fentanyl transdermal patch 25 mcg/hr. Which nursing intervention is most important for the nurse to initiate?

Correct Answer is B

Explanation

Exhibits Which actions should the nurse take to assure safety during morphine administration? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

Exhibits Review H and P. nurse's notes, flow sheet and orders. Click to mark whether the assessment findings represent the therapeutic result of the bisacodyl administered a non-therapeutic side effect, or an unrelated finding. Each row must have at least one option selected.

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Which action should the nurse take to assess for analgesic tolerance in a client who is unable to communicate?

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Exhibits

Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.