There is a high risk of respiratory depression with administration of an opiate medication in patients with:
A. Chronic obstructive pulmonary disease
B. Congestive heart failure
C. Obstructive sleep apnea
D. A and C
ANS: D
According to JAHCO's Sentinel Event Database (Zhani 2012), opioid analgesics rank among the drugs most frequently associated with adverse drug events. Opioids, such as morphine, oxycodone, and methadone, can slow breathing to dangerous levels and cause other problems, such as dizziness, nausea, and falls. JAHCO cites reasons for such adverse events, including dosing errors, improper monitoring of patients, and interactions with other drugs. Patients who have OSA, are obese, or are very ill may be at higher risk for harm from opioids. Patients with severe COPD are vulnerable to respiratory failure with opiates.
You might also like to view...
Consider the following blood count values: Client A has 24,500 white blood cells (WBCs), client B has 13.4 g/dL hemoglobin, and client C has a 250,000/mm3 platelet count. Which of the following correctly describes the condition of each client?
A) Client A has a normal WBC count, client B has a higher hemoglobin count than normal, and client C has a normal platelet count. B) Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count. C) Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a higher platelet count than normal. D) Client A has a normal WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count.
When the nurse is taking a health history of a new patient at the ear clinic, the patient states, "I have to sleep with the television on." Which follow-up question is most appropriate to obtain more information about possible hearing problems?
a. "Do you grind your teeth at night?" b. "What time do you usually fall asleep?" c. "Have you noticed ringing in your ears?" d. "Are you ever dizzy when you are lying down?"
A patient is a gravida 1, in the active phase of stage 1 labor. The fetal position is LOA. When the patient's membranes rupture, what should the nurse expect to see?
A) Very large amount of blood B) Moderate amount of clear fluid C) Small amount of greenish fluid D) Small segment of the umbilical cord
One of the postoperative orders is for imipenem/cilastatin (Primaxin) 500 mg IV now, thenq6h× 2 doses
Before you give the antibiotic, what will you assess?