A client has an order for fentanyl (Sublimaze) prior to surgery. ...

[nautica902]

A client has an order for fentanyl (Sublimaze) prior to surgery. After administering the medication, the nurse should monitor the client for:
 
  1. constipation.
  2. tremors.
  3. sleepiness.
  4. respiratory distress.

Question 2

The nurse is preparing a client for surgery scheduled for the next day. An important intervention for the nurse to complete with this client is to:
 
  1. give preoperative medications the night before surgery.
  2. ensure that the client has nothing by mouth (NPO) after 8 p.m. the night before surgery.
  3. complete teaching for postoperative care the evening before surgery.
  4. notify the charge nurse if the client has questions.

[amcvicar]

Answer to Question 1

Answer: 4

1. The client should not experience constipation after one dose of fentanyl.
2. Tremors are not a side effect of fentanyl.
3. Sleepiness is the expected outcome of giving this medication.
4. Fentanyl causes central nervous system depression, and can cause respiratory distress.

Answer to Question 2

Answer: 3

1. Preoperative medications are given about an hour prior to surgery.
2. Most clients are NPO after midnight prior to a.m. surgery.
3. The nurse ensures that teaching is completed and understood prior to surgery.
4. The nurse is capable of answering the client's questions.

[nautica902]

Thank you

[amcvicar]

No problemo