Author Question: When evaluating the effects of narcotic agonist-antagonists on a patient, what adverse effects would ... (Read 53 times)

nummyann · **on:** Jul 23, 2018

When evaluating the effects of narcotic agonist-antagonists on a patient, what adverse effects would the nurse monitor for?

A) Hypertension
B) Bleeding
C) Suppressed bone marrow function
D) Increased pulse pressure

Question 2

The nurse assesses the postoperative patient who had abdominal surgery and finds a complete absence of bowel sounds caused by what reflex?

A) Gastrocolic reflex
B) Renointestinal reflex
C) Intestinalintestina l reflex
D) Somatointestinal reflex

zoeyesther · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Monitor for adverse effects (e.g., central nervous system changes, gastrointestinal (GI) depression, respiratory depression, arrhythmias, hypertension). Bleeding, bone marrow suppression, and increased pulse pressure are not normally seen with these drugs.

Answer to Question 2

C
Feedback:
After the intestinal irritation that occurs with handling the bowel during abdominal surgery, the risk of paralytic ileus is high because of the intestinalintestina l reflex. The gastrocolic reflex increases GI movement when food is in the stomach. The renointestinal reflex slows GI activity in response to renal capsule swelling. The somatointestinal reflex slows GI activity in response to tight stretching of skin across the abdominal wall.