Patient Data

For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.

"Naloxone will not affect the client's level of pain."

"You can give naloxone intravenously intramuscularly, or subcutaneously."

"When given IV, naloxone starts working immediately and can last several hours.

"If the first dose does not work, you can give as many doses as needed to reverse respiratory depression."

"Naloxone works best on pure agonist opioids."

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Understanding:

"You can give naloxone intravenously, intramuscularly, or subcutaneously."
"If the first dose does not work, you can give as many doses as needed to reverse respiratory depression."
"Naloxone works best on pure agonist opioids."

No Understanding:

"Naloxone will not affect the client's level of pain."
"When given IV, naloxone starts working immediately and can last several hours."

Rationale:

"Naloxone will not affect the client's level of pain. This shows no understanding because naloxone blocks all opioid receptors, including those responsible for analgesia. Once naloxone is administered, the client's opioid-induced pain relief is lost, and pain will likely intensify unless managed separately.
"You can give naloxone intravenously, intramuscularly, or subcutaneously." This shows understanding because naloxone is approved for IV, IM, and SC administration. IV is preferred for rapid effect in emergencies, while IM or SC may be used when IV access is delayed or unavailable.
"When given IV, naloxone starts working immediately and can last several hours." This shows no understanding because naloxone’s onset is rapid when given IV (within 1–2 minutes), but its duration is short, generally lasting 30–90 minutes. It often requires repeated dosing to sustain reversal effects.
"If the first dose does not work, you can give as many doses as needed to reverse respiratory depression." This shows understanding because multiple doses of naloxone may be necessary depending on the opioid’s half-life and the severity of respiratory depression. Repeated dosing ensures that ventilation is supported adequately.
"Naloxone works best on pure agonist opioids." This shows understanding because naloxone is most effective against pure opioid agonists like morphine, heroin, and fentanyl. It competitively displaces these substances from opioid receptors, reversing their full agonist effects.

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Correct Answer is B

Explanation

A. Use a stool softener as needed: Baclofen can cause constipation as a side effect due to its muscle-relaxant properties. Using a stool softener as needed is an appropriate and safe strategy to manage this potential issue without needing additional instruction.

B. Discontinue when spasms cease: Baclofen should not be abruptly discontinued because sudden withdrawal can lead to serious complications such as seizures, hallucinations, or rebound spasticity. Clients must be taught to taper the medication gradually under healthcare provider supervision.

C. Avoid the ingestion of alcohol: Alcohol can potentiate the central nervous system depressant effects of baclofen, increasing the risk of sedation, dizziness, and respiratory depression. Clients should be advised to avoid alcohol while on this medication.

D. Take medication with meals: Taking baclofen with meals helps reduce gastrointestinal upset, such as nausea, which can occur with muscle relaxants. This practice is appropriate and does not require additional instruction.

A. Measure hourly urinary output. B. Evaluate level of consciousness. C. Monitor numeric pain scale. D. Auscultate bowel sounds.

Correct Answer is C

Explanation

A. Measure hourly urinary output: Pentoxifylline primarily affects blood flow by decreasing blood viscosity and improving red blood cell flexibility, enhancing peripheral circulation. Urinary output is not directly influenced by this medication and is not a reliable indicator of its effectiveness for intermittent claudication.

B. Evaluate level of consciousness: While monitoring neurological status is important for many clients, changes in consciousness are not expected indicators of pentoxifylline effectiveness. The primary therapeutic target is the improvement of blood flow and reduction of pain during walking, not mental status changes.

C. Monitor numeric pain scale: Pentoxifylline is used to treat intermittent claudication by improving blood flow to the limbs, reducing muscle pain during exertion. A decrease in reported pain levels on a numeric scale during walking activities is the most direct and meaningful measure of the medication’s effectiveness.

D. Auscultate bowel sounds: Pentoxifylline does not have a primary effect on gastrointestinal motility or bowel function. Monitoring bowel sounds would not provide useful information about whether the drug is effectively relieving the client's symptoms of intermittent claudication.

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Patient Data For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?

Correct Answer is B

Explanation

The nurse assesses a client with intermittent claudication who is receiving pentoxifylline. Which assessment should the nurse perform to determine the effectiveness of the medication?

Correct Answer is C

Explanation

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The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?

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

Patient Data Which other medications might be helpful for this client in his management of asthma? Select all that apply.

Patient Data Which should the nurse do immediately? Select all that apply.

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

Patient Data

For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.