The opioid acetaminophen/hydrocodone is prescribed for a patient who has had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? (Select all that apply.)
Constipation
Lightheadedness
Pain
Urinary retention
Diarrhea
Correct Answer : A,B,D
A. Constipation is a common adverse effect of opioid medications, including hydrocodone.
Opioids can slow down bowel motility, leading to constipation.
B. Lightheadedness is a common side effect of opioids, particularly when a patient first starts
taking them or when the dose is increased. It can be due to the central nervous system depressant effects of the medication.
C. Pain relief is the therapeutic effect of acetaminophen/hydrocodone, not an adverse effect.
D. Urinary retention can occur with opioid use due to their effects on the urinary sphincters and bladder muscle tone. Patients may experience difficulty urinating or incomplete emptying of the bladder.
E. Diarrhea is not a common adverse effect of acetaminophen/hydrocodone. In fact, opioids more commonly cause constipation rather than diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Carbamazepine is an anticonvulsant medication used to treat seizures and certain mood disorders. It is not typically used in the treatment of Parkinson's disease.
B. Piperacillin/tazobactam is an antibiotic combination used to treat bacterial infections. It is not used in the treatment of Parkinson's disease.
C. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. It is not used in the treatment of Parkinson's disease.
D. Levodopa/carbidopa is a medication commonly used in the treatment of Parkinson's disease to manage motor symptoms such as tremor, rigidity, and bradykinesia. The nurse should provide
thorough education to the client regarding the indication, dosage, administration, potential side effects, and precautions associated with levodopa/carbidopa therapy.
Correct Answer is A
Explanation
A. Dantrolene injection, a skeletal muscle relaxant: The patient is exhibiting signs of malignant hyperthermia, a potentially life-threatening complication of anesthesia. Dantrolene is the primary treatment for malignant hyperthermia as it acts as a skeletal muscle relaxant, reducing muscle rigidity and hypermetabolism associated with the condition.
B. Cardiopulmonary resuscitation (CPR) and intubation: While the patient is experiencing significant physiological distress, initiating CPR and intubation would be premature without first addressing the underlying cause, which appears to be malignant hyperthermia.
C. An anticholinesterase drug, such as neostigmine: Anticholinesterase drugs like neostigmine are not indicated for the treatment of malignant hyperthermia.
D. Naltrexone hydrochloride injection, an opioid reversal drug: Naltrexone is used for opioid overdose reversal and is not appropriate for the treatment of malignant hyperthermia.
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