A postoperative patient who received an intravenous infusion of morphine has a respiratory rate of 8 breaths per minute and is lethargic. Which as-needed medication should the nurse administer to the patient?
Methadone
Nalbuphine
Tramadol
Naloxone
The Correct Answer is D
Choice A rationale: Methadone is an opioid analgesic and may exacerbate respiratory depression. It is not typically used as an antidote for opioid overdose.
Choice B rationale: Nalbuphine is a partial opioid agonist-antagonist and may have less respiratory depressant effect than pure opioid agonists. However, naloxone is the specific opioid antagonist used in opioid overdose situations.
Choice C rationale: Tramadol is an opioid analgesic and may exacerbate respiratory depression. It is not typically used as an antidote for opioid overdose.
Choice D rationale: Naloxone is the opioid antagonist used to reverse opioid- induced respiratory depression. It should be administered in the case of opioid overdose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale: A history of anaphylactic reaction to a specific vaccine or its components is a contraindication, as it indicates a severe allergic response.
Choice B rationale: A moderate local reaction to a vaccine is not an absolute contraindication. It may be considered when weighing risks and benefits.
Choice C rationale: The presence of moderate or severe illnesses, with or without a fever, is an absolute contraindication, as vaccines may exacerbate existing illness.
Choice D rationale: Current treatment with antimicrobial medication is not an absolute contraindication to vaccination in children.
Correct Answer is B
Explanation
Choice A rationale: Stopping aspirin immediately may not be necessary and can increase the risk of rebound thrombosis. A gradual discontinuation is often recommended.
Choice B rationale: Stopping aspirin 3 days prior to surgery is a common recommendation to minimize the risk of bleeding during and after the surgical procedure.
Choice C rationale: Reducing the aspirin dosage may not be sufficient, and complete discontinuation is often advised before surgery.
Choice D rationale: Continuing aspirin as scheduled can increase the risk of bleeding during and after surgery. It is generally recommended to discontinue aspirin before elective surgical procedures.
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