Author Question: A patient develops a respiratory rate 6 breaths/min after receiving IV hydromorphone (Dilaudid) 2.0 ... (Read 57 times)

shenderson6 · **on:** Jul 23, 2018

A patient develops a respiratory rate 6 breaths/min after receiving IV hydromorphone (Dilaudid) 2.0 mg. Which medication should the nurse anticipate administering to this patient after notifying the prescriber of this side effect?

a. Physostigmine (Antilirium)
b. Flumazenil (Romazicon)
c. Naloxone (Narcan)
d. Protamine sulfate

Question 2

What type of indwelling catheter is most suitable for long-term use?

a. Silver-alloy catheter
b. Polyvinyl chloride (PVC) catheter
c. Silicone catheter
d. Triple-lumen catheter

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

Answer to Question 1

C
The nurse should anticipate administering naloxone to reverse the respiratory depression associated with opioid use. Flumazenil reverses the central nervous system depressant effects of benzodiazepines. Physostigmine reverses the effects of anticholinergic drugs. Protamine sulfate is the antidote for heparin.

Answer to Question 2

C
Silicone catheters are used primarily for long-term catheterization, as they cause less tissue irritation and prevent encrustation. Silver-alloy coated catheters are used to reduce the risk of catheter-associated urinary tract infections rather than for their suitability for long-term use. Polyvinyl chloride (PVC) catheters are more rigid, less comfortable for indwelling use, and more commonly used for intermittent self-catheterization. A triple-lumen catheter is inserted when the patient requires irrigation of the bladder.