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CHAPTER 26: NARCOTICS, NARCOTIC ANTAGONISTS AND ANTIMIGRAINE AGENTS (PREPU) QUESTIONS AND CORRECT ANSWERS A GRADED $14.99   Add to cart

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CHAPTER 26: NARCOTICS, NARCOTIC ANTAGONISTS AND ANTIMIGRAINE AGENTS (PREPU) QUESTIONS AND CORRECT ANSWERS A GRADED

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CHAPTER 26: NARCOTICS, NARCOTIC ANTAGONISTS AND ANTIMIGRAINE AGENTS (PREPU) QUESTIONS AND CORRECT ANSWERS A GRADED T/F: aOpioid areceptors aare ahighly aconcentrated ain asome aregions aof athe acentral anervous asystem, aincluding athe aascending aand adescending apain apathways aand ap...

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  • August 29, 2024
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  • 2024/2025
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  • CHAPTER 26: NARCOTICS, NARCOTIC ANTAGONISTS
  • CHAPTER 26: NARCOTICS, NARCOTIC ANTAGONISTS
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CHAPTER 26: NARCOTICS, NARCOTIC
ANTAGONISTS AND ANTIMIGRAINE
AGENTS (PREPU) QUESTIONS AND
CORRECT ANSWERS A GRADED


T/F: aOpioid areceptors aare ahighly aconcentrated ain asome aregions aof athe acentral
anervous asystem, aincluding athe aascending aand adescending apain apathways aand
aportions aof athe abrain aessential ato athe aendogenous aanalgesia asystem. a- acorrect
aAnswers a✔✔ a-True


Explanation: aOpioid areceptors aare ahighly aconcentrated ain asome aregions aof athe
acentral anervous asystem, aincluding athe aascending aand adescending apain apathways
aand aportions aof athe abrain aessential ato athe aendogenous aanalgesia asystem.


When aadministering anarcotics ato aclients, athe anurse amust amonitor afor awhich aside
aeffects?
a. asleep adeprivation
b. ableeding
c. aconstipation
d. adiarrhea a- acorrect aAnswers a✔✔ a-c. aconstipation

Explanation: aMorphine aand aother aopiates adelay astomach aemptying aand aslow
aperistalsis. aThey acan abe aused ato atreat asevere adiarrhea aor afor asurgical
ainterventions ainvolving athe aintestines. aHowever, athis aslowed aperistalsis acan aalso
acause aconstipation a(a avery acommon aside aeffect), aabdominal apain, aand adistention.


A aman, a80 ayears aof aage, ahas abeen aprescribed aoxycodone a(OxyContin) afor
asevere, anoncancer, achronic apain. aHe atells athe anurse athat ahe ahas adifficulty
aswallowing aand aasks aif ahe acan acrush athe atablet abefore aswallowing. aWhat awill athe
anurse aneed ato aadvise athe aclient?
a. aCrushing athe atablet ais aa asafe aoption
b. aThe atablet awould ahave ano aeffect aif acrushed aand aingested
c. aCrushing athe atablet aincreases athe adrug's aefficacy
d. aThe atablet aprovides aaround-the-clock apain amanagement aand ashould anot abe
acrushed, achewed, aor abroken a- acorrect aAnswers a✔✔ a-d. aThe atablet aprovides
aaround-the-clock apain amanagement aand ashould anot abe acrushed, achewed, aor
abroken

, Explanation: aThe anurse ashould aexplain athat aoxycodone a(OxyContin) ais aintended ato
aprovide aaround-the-clock apain arelief aby areleasing athe adrug aslowly aover atime aand
ashould anot abe acrushed, achewed, aor abroken. aCrushing athe atablet adoes anot
aincrease athe adrug's aefficacy, anor ais ait aa asafe aoption.


When aevaluating athe aplan aof acare afor aa aclient areceiving aopioid aanalgesics afor
apain amanagement, athe anurse aconsiders athe aplan asuccessful awhen awhat aoccurs?
a(Select aall athat aapply.)
a. aClient areports adecreased abowel amovements
b. aClient areports adecreased aurinary aoutput
c. aAn aadequate abreathing apattern ais amaintained
d. aTherapeutic aresponse ais aachieved aand adiscomfort ais areduced
e. aClient amaintains aadequate anutritional astatus. a- acorrect aAnswers a✔✔ a-c. aAn
aadequate abreathing apattern ais amaintained
d. aTherapeutic aresponse ais aachieved aand adiscomfort ais areduced
e. aClient amaintains aadequate anutritional astatus.

Explanation: aThe aplan aof acare ais aconsidered aeffective awhen atherapeutic aresponse
ais aachieved aand adiscomfort ais areduced; aan aadequate abreathing apattern ais
amaintained; athe anumber aof abowel amovements ais amaintained; aand aadequate
anutritional astatus ais amaintained. aUrinary aoutput ashould amirror aincreased afluid
aintake a(increased afluid ain, aincreased afluid aout).


Prior ato aadministering amorphine, athe anurse achecks athe aclient's amedication ahistory.
aThe anurse awill acontact athe aphysician aand ahold athe amorphine aif athe anurse anotes
athe aclient ais acurrently ataking awhich amedication?
a. amonoamine aoxidase a(MAO) ainhibitor
b. aantihypertensive
c. aantibiotic
d. aNSAID a- acorrect aAnswers a✔✔ a-a. amonoamine aoxidase a(MAO) ainhibitor

Explanation: aThe aclient ashould anot areceive amorphine awithin a14 adays aof areceiving
aan aMOA ainhibitor.


Which acondition awould aoccur adue ato athe aadministration aof aan aopioid aantagonist ain
aa apatient awho ais aphysically adependent aon aopioids?
a. awithdrawal asymptoms
b. ainsomnia
c. ahypotension
d. adrowsiness a- acorrect aAnswers a✔✔ a-a. awithdrawal asymptoms

Explanation: aOpioid aantagonists aproduce awithdrawal asymptoms ain apatients awho aare
aphysically adependent aon aopioids. aDrowsiness, ahypotension, aand ainsomnia ado anot
aoccur ain aopioid adependent apatients awho aare aadministered aopioid aantagonists.

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