A nurse is providing a community education class on morphine ...

[luminitza]

A nurse is providing a community education class on morphine sulfate. Which symptom, chosen by a member of the audience, indicates a need for further teaching with regard to an understanding of adverse effects of morphine sulfate?
 
  a. Orthostatic hypotension
  b. Diarrhea
  c. Urinary retention
  d. Bradypnea

Question 2

A patient taking Duragesic (fentanyl) appears lethargic, is not easily aroused, has pinpoint pupils, and has the following vital signs: respirations 10/minute, pulse 98/minute, BP 100/42.
 
  Which of the following actions by the nurse would be the most appropriate pharmacological intervention?
  a. Administer flumazenil (Romazicon).
  b. Administer naloxone (Narcan).
  c. Administer atropine (AtroPen).
  d. Administer epinephrine (Adrenaline).

[tsternbergh47]

Answer to Question 1

ANS: B
Diarrhea is not an adverse effect of morphine sulfate; constipation is an adverse effect, thus further teaching is indicated.
Adverse effects of morphine sulfate include orthostatic hypotension, thus no further teaching is indicated.
Urinary retention is an adverse effect of morphine sulfate, thus no further teaching is indicated.
Bradypnea is an adverse effect of morphine sulfate, thus no further teaching is indicated.

Answer to Question 2

ANS: B
The administration of naloxone would be the correct choice, because it is a direct antagonist for opiates.
Flumazenil would be indicated for benzodiazepine overdose.
Atropine would be indicated for organophosphate poisoning.
Epinephrine would be indicated for anaphylaxis.

[luminitza]

Excellent

[chereeb]

TYSM