What is a significant common side effect that occurs with opioid ...

[KimWrice]

What is a significant common side effect that occurs with opioid administration?
 
  a. Euphoria
  b. Diuresis
  c. Constipation
  d. Allergic reactions

Question 2

The nurse is caring for a child receiving a continuous intravenous (IV) low-dose infusion of morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. The most appropriate management of this chi
 
  a. Administer naloxone (Narcan).
  b. Discontinue the IV infusion.
  c. Discontinue morphine until the child is fully awake.
  d. Stimulate the child by calling his or her name, shaking gently, and asking the child to breathe deeply.

[nanny]

Answer to Question 1

ANS: C
Constipation is one of the most common side effects of opioid administration. Preventive strategies should be implemented to minimize this problem. Sedation is a more common result than euphoria. Urinary retention, not diuresis, may occur with opiates. Rarely, some individuals may have pruritus.

Answer to Question 2

ANS: A
The management of opioid-induced respiratory depression includes lowering the rate of infusion and stimulating the child. If the respiratory rate is depressed and the child cannot be aroused, then IV naloxone should be administered. The child will be in pain because of the reversal of the morphine. The morphine should be discontinued, but naloxone is indicated if the child is unresponsive