Opioid analgesics
50 questions available
Questions
What is the primary therapeutic use for opioid analgesics as described in the General Use section?
View answer and explanationAccording to the General Action and Information section, how do opioids alter the perception of pain?
View answer and explanationIn which patient population should smaller initial doses of opioids be used cautiously?
View answer and explanationConcurrent use of opioids with which class of drugs may precipitate opioid withdrawal in physically dependent patients?
View answer and explanationWhen titrating opioid doses, what is the recommended dose increase until a satisfactory response is achieved?
View answer and explanationWhat action should be taken if a patient's respiratory rate is 10 per minute or less after opioid administration?
View answer and explanationWhat is the specific antidote for opioid overdose mentioned in the text?
View answer and explanationFor an adult patient with opioid-induced respiratory depression, how should the 0.4-mg ampule of naloxone be prepared and administered?
View answer and explanationAccording to the Implementation section, why might regularly administered doses of opioids be more effective than PRN (as needed) administration?
View answer and explanationWhat patient teaching point is crucial to prevent atelectasis in patients receiving opioids?
View answer and explanationWhat potential outcome is a primary desired evaluation for a patient on opioid analgesics?
View answer and explanationIn the event of an opioid overdose in a child weighing less than 40 kg, how should naloxone be prepared?
View answer and explanationIf a patient on opioid analgesics has a respiratory rate of 9/min and is sedated, what percentage dose reduction may be necessary?
View answer and explanationWhich two endogenous opioid peptides are mentioned as being mimicked by opioid analgesics?
View answer and explanationWhat is the recommended administration frequency for an IV push of diluted naloxone in an adult overdose?
View answer and explanationWhat measure should be instituted to manage constipation if opioid use exceeds 2 to 3 days?
View answer and explanationWith which two specific drugs, in addition to MAO inhibitors, can meperidine cause severe paradoxical reactions?
View answer and explanationWhat is the recommended administration frequency of naloxone for a child with an opioid overdose?
View answer and explanationWhy should opioid analgesics be used cautiously in patients with undiagnosed abdominal pain?
View answer and explanationWhat is the goal of titrating the naloxone dose when reversing an opioid overdose?
View answer and explanationWhich type of opioid analgesic is not recommended for prolonged use or as first-line therapy for acute or cancer pain?
View answer and explanationWhat is the consequence of co-administering nonopioid analgesics with opioids?
View answer and explanationWhat is the recommended dose of naloxone to administer every 1 to 2 minutes for a child experiencing an opioid overdose?
View answer and explanationWhat should be done after long-term use of opioid analgesics to avoid withdrawal symptoms?
View answer and explanationWhat is the single contraindication listed for opioid analgesics?
View answer and explanationWhich nursing implication is crucial before administering an opioid to avoid medication errors?
View answer and explanationA repeat dose of an opioid can be safely administered at the time of the peak if which two conditions are met?
View answer and explanationProlonged use of opioids may lead to tolerance and the need for larger doses. What does the text say about the development of psychological dependence in patients receiving opioids for pain?
View answer and explanationUse of nalbuphine or pentazocine may have what effect on other concurrently administered opioid analgesics?
View answer and explanationWhat is the recommended dose of an adult naloxone IV push administered every 2 minutes?
View answer and explanationWhat is the general use of Fentanyl as mentioned in the text, besides pain management?
View answer and explanationA patient's pain rating on a numerical scale should decrease by what percentage to be considered a satisfactory response to an opioid dose?
View answer and explanationWhich patient action is taught to minimize orthostatic hypotension associated with opioid use?
View answer and explanationWhat is the final concentration of the prepared naloxone solution for pediatric use?
View answer and explanationA patient receiving opioid agonist-antagonists who is physically dependent on opioids may experience which withdrawal symptoms?
View answer and explanationWhat tool should be used when changing opioid routes or from one opioid to another?
View answer and explanationOpioids bind to opiate receptors in which part of the body?
View answer and explanationWhat is the recommended dilution for a 0.4-mg ampule of naloxone for adult use?
View answer and explanationWhy should a nurse assess a patient's prior analgesic history before administering an opioid agonist-antagonist?
View answer and explanationConcurrent use of opioids with alcohol, antihistamines, and phenothiazines increases the risk of what adverse effect?
View answer and explanationWhat is the recommended frequency for encouraging a patient to turn, cough, and breathe deeply to prevent a specific complication?
View answer and explanationWhat is the maximum amount of naloxone to be diluted for pediatric use according to the text?
View answer and explanationWhat can be a sufficient intervention to prevent significant hypoventilation in a patient with a respiratory rate of 10/min?
View answer and explanationThe text states that progressively higher doses of opioids may be required to relieve pain with what type of therapy?
View answer and explanationWhich of the following is NOT listed as a potential nursing diagnosis for a patient taking opioid analgesics?
View answer and explanationIn addition to avoiding driving, what other activity should a patient be cautioned about until their response to an opioid is known?
View answer and explanationAccording to the text, a patient requiring higher doses of which type of opioid should be converted to an opioid agonist?
View answer and explanationWhat effect can initial drowsiness from opioid use have over time?
View answer and explanationWhat is the rationale given for explaining the therapeutic value of an opioid before administration?
View answer and explanationWhich of the following is a key precaution when using opioids?
View answer and explanation