A patient with chronic pain has been receiving morphine sulfate but now has decreased pain. The prescriber changes the medication to pentazocine (Talwin). The nurse will monitor the patient for:
a. euphoria.
b. hypotension.
c. respiratory depression.
d. yawning and sweating.
ANS: D
Pentazocine is an agonist-antagonist opioid, and when given to a patient who is physically dependent on morphine, it can precipitate withdrawal. Yawning and sweating are early signs of opioid withdrawal. Pentazocine does not produce euphoria, hypotension, or respiratory depression.
You might also like to view...
A woman has a hydatidiform mole (molar pregnancy) evacuated, and is prepared for discharge. The nurse should make certain that the client understands that what is essential?
1. That she not become pregnant until after the follow-up program is completed 2. That she receive RhoGAM with her next pregnancy and birth 3. That she has her blood pressure checked weekly for the next 30 days 4. That she seek genetic counseling with her partner before the next pregnancy
A pregnant patient with fever, flank pain, and chills has a history of two previous bladder infections before getting pregnant. She is allergic to several antibiotics. She reports having taken methenamine successfully in the past
What will the nurse tell her? a. "This agent is not effective against infections of the upper urinary tract." b. "This antiseptic agent is safe for use during pregnancy and has no drug resistance." c. "This drug is linked to many serious birth defects and is not recommended during pregnancy." d. "You will need to take this medication with meals to avoid gastric upset."
Agnes twisted her ankle at work when going down a flight of stairs. After looking at the x-rays, her doctor advises Agnes that a small piece of ankle bone has pulled away from the rest of the bone by a ligament. This refers to which type of injury?
A. This describes an avulsion fracture B. Severe tendon injury C. Agnes has a stress/fissure fracture D. This is a wedge injury which is common for ankle trauma
The patient's chart indicates that he weighed 175 pounds at the end of September. He then gained 
pounds in October and lost 
pound in November. He weighed ________ at the end of November.If the answer results in a mixed number be sure to include a space between the whole number and the fraction. Example: 1 1/4 (read as one and one-fourth).
Fill in the blank(s) with the appropriate word(s).