The client is brought to the emergency department with a reported overdose of morphine. Which drug does the nurse anticipate will be prescribed?

Butorphanol

Naloxone

Flumazenil

Pentazocine

Answer and Explanation

The Correct Answer is B

A. Butorphanol

Butorphanol is a mixed opioid agonist-antagonist. It has both agonist and antagonist properties at opioid receptors. While it can be used for pain management, it is not commonly used for opioid overdose reversal.

B. Naloxone

Naloxone is an opioid receptor antagonist and is the drug of choice for reversing opioid overdose, including morphine overdose. It works by competitively binding to opioid receptors, blocking the effects of opioids.

C. Flumazenil

Flumazenil is a selective antagonist for benzodiazepines. It is used to reverse the effects of benzodiazepine overdose but does not have an effect on opioid overdose.

D. Pentazocine

Pentazocine is a mixed opioid agonist-antagonist. Like butorphanol, it has both agonist and antagonist properties at opioid receptors. It is used for pain management but is not commonly used for opioid overdose reversal.

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Correct Answer is ["C","D"]

Explanation

A. Administer morphine 1-2 mg IV

Administering morphine is not a preventive measure for spinal headaches. It may be considered for pain relief if the patient experiences discomfort after the effects of spinal anesthesia wear off.

B. Ambulate the client as soon as she gets feelings back

Ambulating the patient too soon after spinal anesthesia is generally not recommended. Staying in bed initially helps prevent complications like spinal headaches.

C. Increase fluid intake

Adequate hydration is important after spinal anesthesia to help maintain cerebrospinal fluid volume. Increasing fluid intake can reduce the risk of developing a spinal headache.

D. Encourage the patient to stay flat in bed

Remaining in a flat or slightly elevated position helps minimize cerebrospinal fluid leakage from the puncture site, reducing the likelihood of developing a spinal headache. This position is typically recommended for a specific duration after spinal anesthesia.

E. Position the client in high Fowler's position

Placing the patient in high Fowler's position (sitting upright) may increase the risk of cerebrospinal fluid leakage, potentially leading to a spinal headache. This position is not recommended for preventing spinal headaches after spinal anesthesia.

Correct Answer is ["36"]

Explanation

To calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL, we need to use the following formula:

Infusion time (in minutes) = Volume (in mL) x Drop factor (in gtt/mL) / Flow rate (in gtt/min)

Plugging in the given values, we get:

Infusion time = 1,500 x 15 / 25

Infusion time = 900 / 25

Infusion time = 36

Therefore, the infusion time for this IV is 36 minutes.

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The client is brought to the emergency department with a reported overdose of morphine. Which drug does the nurse anticipate will be prescribed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? Select All That Apply

Correct Answer is ["C","D"]

Explanation

Calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL.

Correct Answer is ["36"]

Explanation

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