administering fentanyl by transdermal patch, the nurse understands that
Respiratory depression can occur and persist for hours after patch removed
The drug is very safe when administered in this topical formulation
A heating pad can be used to augment pain relief
the patient will begin to experience pain relief within 30 minutes
The Correct Answer is A
Choice A rationale: Respiratory depression can occur and persist for hours after the removal of a fentanyl patch. It is crucial to monitor respiratory status closely and be aware of the potential delayed onset of respiratory depression.
Choice B rationale: Fentanyl, like any opioid, carries risks, and safety precautions should be observed. However, it is not completely without risks, especially in certain populations or situations.
Choice C rationale: Using a heating pad with a fentanyl patch is not recommended, as it can increase drug absorption and the risk of overdose.
Choice D rationale: Fentanyl patches have a delayed onset of action, and the patient will not experience immediate pain relief. It may take several hours for the full effect to be achieved after the application of the patch.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Temperature is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice B rationale: Urinary function is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice C rationale: Respiratory rate is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice D rationale: The priority assessment before the administration of metoprolol is the heart rate. Metoprolol is a beta-blocker that primarily affects the heart rate, so it is important to assess for bradycardia before administration.
Correct Answer is D
Explanation
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.
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