PrepU Practice Ch 49 UPDATED ACTUAL
Questions and CORRECT Answers
The nurse is caring for a patient who is receiving an opioid analgesic. What would be a priority assessment by the nurse?
- CORRECT ANSWER Level of consciousness and respiratory rate
A nurse has administered an opioid to a patient. What nursing interventions should the nurse perform if the patient shows
a decrease in respirations? - CORRECT ANSWER Monitor and encourage patient to cough and breathe deeply
every two hours.
A client is to receive a narcotic cough syrup. The nurse would expect this preparation to contain: - CORRECT
ANSWER codeine
The nurse administers morphine 15 mg oral solution to a client with cancer pain at 0930. When should the nurse reassess
the client for peak effect? - CORRECT ANSWER 1030
With oral administration, peak activity occurs in about 60 minutes. The duration of action is 5 to 7 hours
A client who is receiving an opioid develops a slowed breathing pattern due to the drug's effect of somnolence and pain
relief. When providing care to this client, which would be most important for the nurse to do?
a. Increase the drug dosage level to be administered.
b. Continue administering the prescribed drug.
c. Monitor blood pH level.
d. Coach the client to breathe. - CORRECT ANSWER d
A class of new nursing students is learning how to administer medications to clients. What should the instructor teach the
students about giving opiates?
a. Give a dosage only if you think it is necessary.
b. Delay the ordered dose if respirations are below 15 bpm.
c. Assess the respiratory rate before giving a dose of opiates.
d. Assess the client's vital signs hourly. - CORRECT ANSWER c
a client who was recently diagnosed with cancer is now receiving morphine for pain. Since this client has been receiving
morphine for only a short time, he is best described by which term?
a. Opiate intolerant
b. Opiate naive
c. Opiate agonistic
d. Opiate tolerant - CORRECT ANSWER b
The nurse is caring for a postoperative client taking an opioid medication for pain. The nurse assesses the client to have
bradypnoea and an oxygen saturation value of 90%. Which actions should the nurse perform before administering the
ordered opioid antagonist?
a. Assess the client's other vital signs.
b. Reposition the client for comfort.
c. Reassess the client's level of pain.
d. Call for a respiratory therapy consult. - CORRECT ANSWER a
The nurse is caring for a client who experienced multiple fractures. The client has been prescribed morphine 4 mg every 4
hours IM as needed and 2 mg of morphine IV as needed for intense pain. The nurse understands that the 2 mg of
morphine is prescribed for the treatment of what type of pain?
a. Breakthrough pain
b. Preemptive pain
c. Postoperative pain
d. Chronic pain - CORRECT ANSWER a
Questions and CORRECT Answers
The nurse is caring for a patient who is receiving an opioid analgesic. What would be a priority assessment by the nurse?
- CORRECT ANSWER Level of consciousness and respiratory rate
A nurse has administered an opioid to a patient. What nursing interventions should the nurse perform if the patient shows
a decrease in respirations? - CORRECT ANSWER Monitor and encourage patient to cough and breathe deeply
every two hours.
A client is to receive a narcotic cough syrup. The nurse would expect this preparation to contain: - CORRECT
ANSWER codeine
The nurse administers morphine 15 mg oral solution to a client with cancer pain at 0930. When should the nurse reassess
the client for peak effect? - CORRECT ANSWER 1030
With oral administration, peak activity occurs in about 60 minutes. The duration of action is 5 to 7 hours
A client who is receiving an opioid develops a slowed breathing pattern due to the drug's effect of somnolence and pain
relief. When providing care to this client, which would be most important for the nurse to do?
a. Increase the drug dosage level to be administered.
b. Continue administering the prescribed drug.
c. Monitor blood pH level.
d. Coach the client to breathe. - CORRECT ANSWER d
A class of new nursing students is learning how to administer medications to clients. What should the instructor teach the
students about giving opiates?
a. Give a dosage only if you think it is necessary.
b. Delay the ordered dose if respirations are below 15 bpm.
c. Assess the respiratory rate before giving a dose of opiates.
d. Assess the client's vital signs hourly. - CORRECT ANSWER c
a client who was recently diagnosed with cancer is now receiving morphine for pain. Since this client has been receiving
morphine for only a short time, he is best described by which term?
a. Opiate intolerant
b. Opiate naive
c. Opiate agonistic
d. Opiate tolerant - CORRECT ANSWER b
The nurse is caring for a postoperative client taking an opioid medication for pain. The nurse assesses the client to have
bradypnoea and an oxygen saturation value of 90%. Which actions should the nurse perform before administering the
ordered opioid antagonist?
a. Assess the client's other vital signs.
b. Reposition the client for comfort.
c. Reassess the client's level of pain.
d. Call for a respiratory therapy consult. - CORRECT ANSWER a
The nurse is caring for a client who experienced multiple fractures. The client has been prescribed morphine 4 mg every 4
hours IM as needed and 2 mg of morphine IV as needed for intense pain. The nurse understands that the 2 mg of
morphine is prescribed for the treatment of what type of pain?
a. Breakthrough pain
b. Preemptive pain
c. Postoperative pain
d. Chronic pain - CORRECT ANSWER a
