RN HESI Pharmacology Exam | Nurselytic

Questions 31

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RN HESI Pharmacology Exam Questions

Extract:

History and Physical
The client is a 42-year-old female who had a right above-the-knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on post-op day 1.
Nurses' Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding noted at the site.

Vital signs: heart rate 77 bpm, blood pressure 118/74 mmHg, respiratory rate 16.

1800: Vital signs: heart rate 79 bpm, blood pressure 114/78, respiratory rate 14 bpm.

1900: Responded to an alarm in the room. The client is not responsive. Her respiratory rate is 5 bpm. Her heart rate is 92 bpm. Her pupils are pinpoint.
Orders
- Admit to the surgical floor
- Clear liquid diet, advance as tolerated
- Continuous cardiorespiratory monitoring
- Morphine 1 mg/hr intravenously
- Alert surgeon to signs of bleeding or infection in the surgical site
1500:

- Docusate sodium 240 mg orally every am
- Naloxone 2 mg intravenously as needed for respiratory depression
- Ibuprofen 600 mg orally every 6 hours


Question 1 of 5

For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone.

OptionsUnderstandingNo Understanding
"You can give naloxone intravenously, intramuscularly, or subcutaneously."
"Naloxone works best on pure agonist opioids."
"If the first dose does not work, you can give as many doses as needed to reverse respiratory depression."
"Naloxone will not affect the client's level of pain."
"When given IV, naloxone starts working immediately and can last several hours."

Correct Answer:

Rationale: A: Naloxone can be given IV, IM, or SC (Understanding). B: It works best on pure agonists like morphine (Understanding). C: Repeated doses risk adverse effects like agitation (No Understanding). D: Naloxone reverses analgesia, increasing pain (No Understanding). E: IV naloxone acts quickly but lasts 30-90 minutes, not hours (No Understanding).

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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