You are administering the first dose of an opioid drug to a patient. Which specific related actions should you take before and after giving the dose?
a. Ask if the patient is allergic to sulfa drugs and monitor for a reaction after giving the drug.
b. Place the patient on bed rest before giving the drug and keep him or her on bed rest after to avoid accidental falling.
c. Check the patient's respiratory rate and oxygen saturation before and after giving the drug and monitor for respiratory depression.
d. Administer a drug such as naloxone (Narcan) both before and after giving the opioid drug to prevent respiratory depression.
Question 2
A patient is receiving morphine (MS Contin) for severe cancer pain. His wife states that he has difficulty swallowing and asks if the tablets can be crushed and given with applesauce or pudding. What is your best response?
a. That is an excellent solution and will make it much easier for him to swallow his pain medicine.
b. It might be best if we talk with the prescriber about having a feeding tube placed for medication administration.
c. You can dissolve the tablets in water then give the drug to your husband mixed with juice.
d. I will contact the prescriber about this because your husband may need to be prescribed a different form of morphine for his pain.
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