This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client has received an opioid analgesic for pain. The nurse assesses that the client has a Pasero ... (Read 92 times)

Garrulous

  • Hero Member
  • *****
  • Posts: 686
on: Jun 25, 2018
A client has received an opioid analgesic for pain. The nurse assesses that the client has a Pasero Scale score of 3 and a respiratory rate of 7 shallow breaths/min. The client's oxygen saturation is 87. What action should the nurse perform first?
 
  a. Apply oxygen at 4 L/min.
  b. Attempt to arouse the client.
  c. Give naloxone (Narcan).
  d. Notify the Rapid Response Team.

Question 2

An older adult has diabetic neuropathy and often reports unbearable foot pain. About which medication would the nurse plan to educate the client?
 
  a. Desipramine (Norpramin)
  b. Duloxetine (Cymbalta)
  c. Morphine sulfate
  d. Nortriptyline (Pamelor)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nanny

  • Sr. Member
  • ****
  • Posts: 313
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
The Pasero Opioid-Induced Sedation Scale is used to assess for unwanted opioid-associated sedation. A Pasero Scale score of 3 is unacceptable but is managed by trying to arouse the client in order to take deep breaths and staying with the client until he or she is more alert. Administering oxygen will not help if the client's respiratory rate is 7 breaths/min. Giving naloxone and calling for a Rapid Response Team would be appropriate for a higher Pasero Scale score.

Answer to Question 2

ANS: B
Antidepressants and anticonvulsants often are used for neuropathic pain relief. Morphine would not be used for this client. However, older adults do not tolerate tricyclic antidepressants very well, which eliminates desipramine and nortriptyline. Duloxetine would be the best choice for this older client.


Garrulous

  • Member
  • Posts: 686
Reply 2 on: Jun 25, 2018
:D TYSM

peter

  • Member
  • Posts: 330
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Areas of referred pain; A, anterior view; B, posterior view. Areas of referred pain; A, anterior view; B, posterior view.
McBurney’s point is the common location of pain in children and adolescents with appendicitis. McBurney’s point is the common location of pain in children and adolescents with appendicitis.
A nurse communicates with her non–English-speaking patient through an interpreter A nurse communicates with her non–English-speaking patient through an interpreter
Magnet hospital nurse requirements Magnet hospital nurse requirements
Client files are kept in alphabetical order in locked file cabinets. Client files are kept in alphabetical order in locked file cabinets.
Video: Introduction to Dysrhythmia

For a complete list of videos, visit our video library