A patient with a history of renal failure and liver disease has been receiving morphine sulfate every 4 hours for the past 2 weeks. The nurse finds the patient lethargic with a respiratory rate of 6 breaths per minute
The health care provider orders naloxone (Narcan). The nurse anticipates which effects when naloxone (Narcan) is given? (Select all that apply.) a. Increase in alertness
b. Decrease in urine output
c. Complaints of pain
d. Increase in respiratory rate
A, C, D
Toxic effects develop after prolonged intake of a medication, when a medication accumulates in the blood as the result of decreased clearance by the liver and/or kidneys (because of impaired metabolism or excretion), or when too high a dose is given. Respiratory depression and sedation are known effects of opioid toxicity. Naloxone reverses the effects of opioids, including pain relief.
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Alcohol is metabolized in the body to produce a toxic substance, which is further metabolized and excreted. This metabolite of alcohol is which of the following?
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A couple has been married for 5 months, and each has just started a new job. Prior to their marriage, they each lived with their respective parents. Now they live with the wife's parents
They have just learned that the wife is pregnant with their first child and seek counseling at a local pregnancy help center. The psychiatric nurse consultant at the center will MOST likely provide intervention at which level of the trifocal model? a. wellness b. prevention c. problem intervention d. case management
A nurse is teaching a patient about the use of sildenafil (Viagra) for erectile dysfunction. Which statement by the patient indicates understanding of the teaching?
a. "If my erection lasts longer than 4 hours, I should contact my provider." b. "I should not use nitroglycerin within 12 hours of using sildenafil." c. "I should take this drug about 15 minutes before sexual activity." d. "This drug may cause me to have an erection when I don't want one."