List three priority problems related to the care of M.M. in his ...

[stephzh]

List three priority problems related to the care of M.M. in his current situation.
 
  What will be an ideal response?

Question 2

What signs and symptoms would you see if he were to have a toxic or overdose reaction to
  the fentanyl? Select all that apply.
 
  a. Dilated pupils
  b. Respiratory depression
  c. Nausea
  d. Central nervous system (CNS) depression
  e. Pruritus

[pratush dev]

Answer to Question 1

 PE and mismatch contributing to reduced oxygencarbon dioxide gas exchange
 Hypoxemia and pain contributing to a breathing pattern that is ineffective
 Hemorrhage secondary to anticoagulant therapy, contributing to a risk for reduced tissue
perfusion
 Surgery, immobility, and less effective breathing pattern contributing to an increased infection risk
(pneumonia)

Answer to Question 2

b, d
Overdose manifestations would include CNS and respiratory depression and pinpoint pupils.
Respiratory depression can be manifested by slowed and shallow respirations. Note that the
respiratory depression effect can outlast the analgesic effect. Nausea and pruritus are expected
adverse effects of opioids.