Which clients would the nurse evaluate as unsuitable for the administration of fentanyl as anesthesia?

Question

Standard Text: Select all that apply.
1. A 60-year-old with history of emphysema
2. A 17-year-old who sustained a head injury in a motor vehicle accident
3. A breast-feeding mother
4. A 58-year-old with type 2 diabetes mellitus
5. A 70-year-old with a history of ulcerative colitis

Answer 1

Correct Answer: 1,2,3
Rationale 1: Any client with a history of respiratory impairment should be administered fentanyl only with great caution.
Rationale 2: Clients who have sustained head injury should not receive fentanyl.
Rationale 3: Fentanyl is secreted in breast milk and should not be given to breast-feeding mothers.
Rationale 4: There is no contraindication to fentanyl administration for this client. If the client has renal impairment from diabetes, a lower dose might be given.
Rationale 5: While age is not a contraindication for administration of fentanyl, the nurse would take special fall risk precautions with this client.
Global Rationale: Any client with a history of respiratory impairment should be administered fentanyl only with great caution. Clients who have sustained head injury should not receive fentanyl. Fentanyl is secreted in breast milk and should not be given to breast-feeding mothers. There is no contraindication to fentanyl administration for the client diagnosed with diabetes mellitus. If the client has renal impairment from diabetes, a lower dose might be given. While age is not a contraindication for administration of fentanyl, the nurse would take special fall risk precautions with the 70-year-old client.