A client is receiving fentanyl IV for postoperative pain. The ...

[lunatika]

A client is receiving fentanyl IV for postoperative pain. The nurse understands that with this opiod the client should be monitored for:
 
  a. respiratory depression. c. alertness.
  b. CNS stimulation. d. cough suppression.

Question 2

The client who has just returned from the operating room following an exploratory laparotomy is likely to experience effective pain relief from:
 
  a. p.o. acetaminophen. c. p.o. codeine sulfate.
  b. IV morphine. d. IV ketorolac

[steff9894]

Answer to Question 1

ANS: A

Feedback
A Correct: Fentanyl is 80 to 100 times as potent as morphine sulfate, so respiratory depression is a risk with this agent.
B Incorrect: This is very unlikely.
C Incorrect: Although this is part of assessing the client's level of consciousness, this is not the best answer.
D Incorrect: Fentanyl is not used as a cough suppressant.

Answer to Question 2

ANS: B

Feedback
A Incorrect: Following major surgery, IV analgesia is required for pain management.
B Correct: IV (preferably PCA) morphine is the preferred analgesic for immediate postoperative pain.
C Incorrect: Following major surgery, IV analgesia is required for pain management.
D Incorrect: Ketorolac is an anti-inflammatory and an appropriate adjunct to morphine for postoperative pain.

[lunatika]

TY

[steff9894]

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