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Exam (elaborations)

NU129 Test 2 Practice Questions and Answers

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  • NU 2024
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  • NU 2024

NU129 Test 2 Practice Questions and Answers A patient is prescribed opioid analgesic. During the initial interview with the patient, the nurse understands that the patient chronically drinks alcohol. Which of the following effect of the interaction between opioid analgesic and alcohol should th...

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  • October 24, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 2024
  • NU 2024
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GraceAmelia
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NU129 Test 2 Practice Questions and
Answers

A patient is prescribed opioid analgesic. During the initial interview with the patient, the nurse

understands that the patient chronically drinks alcohol. Which of the following effect of the interaction

between opioid analgesic and alcohol should the nurse monitor for in the patient?


a. Sedation


b. Hypotension


c. Respiratory depression


d. Central nervous system depression - Ans:✔✔-d. Central nervous system depression




Rationale:


The nurse should monitor the patient for central nervous system depression. The nurse need not

monitor the patient for respiratory depression, hypotension, and sedation because these are the effects

of interaction of opioid analgesic with barbiturates, not alcohol.



Page 1/34

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Which of the following conditions would occur due to the administration of an opioid antagonist in a

patient who is physically dependent on opioids?


a. Insomnia


b. Hypotension


c. Withdrawal symptoms


d. Drowsiness - Ans:✔✔-c. Withdrawal symptoms




Rationale:


Opioid antagonists produce withdrawal symptoms in patients who are physically dependent on opioids.

Drowsiness, hypotension, and insomnia do not occur in opioid dependent patients who are administered

opioid antagonists.


When administering an opioid antagonist drug to a client, the primary goal of the therapy is to provide

which of the following?


a. A return to normal respiratory rate, rhythm, and depth


b. A reduction in the client's rating of their pain


c. Promote alertness and improve memory function


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




d. Management of alcohol withdrawal symptoms - Ans:✔✔-b. A return to normal respiratory rate,

rhythm, and depth




Rationale:


The primary reason for administering an opioid antagonist is because the client is experiencing

respiratory depression. Therefore, the goal is to improve the client's respiratory rate, rhythm, and depth.

None of the other options is part of the drug therapy.


A patient with respiratory depression is administered an opioid antagonist by the nurse. What ongoing

assessment should the nurse perform when administering the opioid antagonist to the patient?


a. Monitor the blood pH level of the patient


b. Monitor vital signs every 5 to 15 minutes


c. Teach different breathing patterns to the patient


d. Review allergy history and other treatment modalities - Ans:✔✔-b. Monitor vital signs every 5 to 15

minutes.




Rationale:



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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




The ongoing assessment performed by the nurse when administering an opioid antagonist to the patient

involves monitoring the vital signs of the patient every 5 to 15 minutes. Monitoring the blood pH level of

the patient is not a part of the ongoing assessment. Reviewing the allergy history and other treatment

modalities and coaching different breathing patterns to the patient are pre-administration assessments

that are performed before the administration of the drug; they are not ongoing assessments.


Which of the following can occur if the nurse administers naloxone (Narcan) as a rapid IV bolus? Select

all that apply:


a. Respiratory depression


b. Withdrawal


c. Intense pain


d. Hypotension


e. Vomiting - Ans:✔✔-b. Withdrawal


c. Intense pain


d. Vomiting




Rationale:



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