Which patient may require a higher-than-expected dose of an opioid analgesic?
A patient 3 days after surgery.
A patient with cancer.
A patient with hypotension.
A patient with a concussion.
The Correct Answer is B
Choice A rationale
A patient 3 days after surgery may still require higher doses of opioids for pain management, but the duration and intensity of postoperative pain typically decrease over time. This patient may not necessarily require a higher-than-expected dose compared to others.
Choice B rationale
Patients with cancer often experience severe and chronic pain due to the disease itself or its treatments. These patients may develop tolerance to opioids over time, necessitating higher-than-expected doses to achieve adequate pain relief.
Choice C rationale
Hypotension is a contraindication for high doses of opioids, as opioids can cause further blood pressure reduction. This patient would require careful dose adjustment to avoid exacerbating hypotension.
Choice D rationale
Patients with a concussion are at risk of altered mental status and respiratory depression from opioids. Therefore, higher doses are generally avoided to prevent worsening of these conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Glycopyrrolate is an anticholinergic medication that reduces secretions in the mouth, throat, and airways but is not typically used for bronchospasm associated with COPD.
Choice B rationale
Ipratropium is an anticholinergic bronchodilator that is commonly used to treat bronchospasm associated with COPD. It works by relaxing the muscles around the airways to improve breathing.
Choice C rationale
Atropine is an anticholinergic medication used to treat bradycardia and reduce secretions but is not indicated for bronchospasm associated with COPD.
Choice D rationale
Flavoxate is a urinary antispasmodic used to relieve symptoms of bladder spasms but has no role in the treatment of bronchospasm associated with COPD.
Correct Answer is A
Explanation
Choice A rationale
Narcotic agents are commonly prescribed for the relief of moderate to severe acute pain.
Choice B rationale
Narcotic agents are not typically used for minor pain due to the risk of dependency and side effects.
Choice C rationale
Analgesia during sleep is not a usual indication for narcotics as their primary use is for pain relief.
Choice D rationale
Narcotics may be used during anesthesia, but the primary reason is pain relief. .
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