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.
D
Pentazocine is an agonist-antagonist opioid, and when given to a patient who is physically de-pendent on morphine, it can precipitate withdrawal. Yawning and sweating are early signs of opioid withdrawal. Pentazocine does not produce euphoria, hypotension, or respiratory depres-sion.
You might also like to view...
A nurse can demonstrate caring and support to a patient through demonstration or expression of
a. superior clinical skills. c. empathy and physical contact. b. uncertainty with prognosis. d. prioritizing care.
A woman goes to the airport to pick up her husband, returning from one of many business trips
Persons awaiting his flight are directed to a conference room where airline counselors explain that the flight crashed into the ocean, and it is believed that there are no survivors. The woman tells a counselor that it is too soon to be sure, he might still be alive, clinging to wreckage and waiting to be found. The patient is demonstrating: a. trial-and-error problem solving. b. adaptive denial. c. ineffective denial. d. acute confusion.
The graduate nurse is caring for an elderly patient recently diagnosed with cancer. What signs or symptoms would be present to support the diagnosis of frailty in this patient?
A) Serum albumin greater than 2.5 g/100dl B) Serum albumin less than 2.5 g/100dl C) Hemoglobin 23 g/dl D) Hemoglobin 12 g/dl
A 15-year-old client has been brought to the clinic by his mother and is suspected of having an immune system disorder. What tests would you expect to be ordered for this young client?
A) Cerebral spinal fluids aspiration B) Sedimentary rate C) Complete blood count with differential D) Complete chemistry panel