The newborn of a client who received nalbuphine hydrochloride (Nubain) for pain control was born less than an hour after the medication was given and is exhibiting signs of respiratory depression. Which medication should the nurse prepare to administer to the newborn?

1. Naloxone (Narcan)
2. Fentanyl (Sublimaze)
3. Pentobarbital (Nembutal)
4. Butorphanol tartrate (Stadol)


1
Explanation:
1. Narcan is an opiate antagonist, which would reverse the effects of the Nubain.
2. Fentanyl is a short-acting opiate that has been used during labor to relieve pain and induce sedation. It is not an opiate antagonist.
3. Pentobarbital is a sedative. It is not an opiate antagonist.
4. Butorphanol tartrate is a synthetic agonist–antagonist opioid analgesic agent. It is not an opiate antagonist.

Nursing

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