A patient with a history of renal failure and liver disease has ...

[Pea0909berry]

A patient with a history of renal failure and liver disease has been receiving morphine sulfate every 4 hours for the past 2 weeks. The nurse finds the patient lethargic with a respiratory rate of 6 breaths per minute.
 
  The health care provider orders naloxone (Narcan). The nurse anticipates which effects when naloxone (Narcan) is given? (Select all that apply.) a. Increase in alertness
  b. Decrease in urine output
  c. Complaints of pain
  d. Increase in respiratory rate

Question 2

During a sputum collection, the client becomes hypoxic. The nurse should:
 
  A. Suction the client thoroughly
  B. Continue to complete the procedure quickly
  C. Stop the procedure and provide oxygen, if ordered
  D. Have the client lie down and take deep breaths before continuing with the specimen collection

[ASDFGJLO]

Answer to Question 1

A, C, D
Toxic effects develop after prolonged intake of a medication, when a medication accumulates in the blood as the result of decreased clearance by the liver and/or kidneys (because of impaired metabolism or excretion), or when too high a dose is given. Respiratory depression and sedation are known effects of opioid toxicity. Naloxone reverses the effects of opioids, including pain relief.

Answer to Question 2

C
C. If client becomes hypoxic, discontinue procedure until stable and provide oxygen therapy as needed if ordered.
A. Stop suctioning and administer some oxygen. Suctioning can decrease usable oxygen to the client during suctioning.
B and D. Discontinue procedure until stable and provide oxygen therapy as needed if ordered.

[Pea0909berry]

Excellent

[Mochi]

TYSM