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Zorluk: KolayPharmacological Therapies

A practical nurse is preparing to administer a scheduled dose of an oral opioid analgesic to a postoperative client. Upon entering the room, the nurse observes that the client is difficult to arouse and has a respiratory rate of 8 breaths per minute. Which action should the nurse take?

  1. A
    Administer the medication as prescribed to ensure the client's postoperative pain remains controlled.
  2. Withhold the medication and immediately notify the registered nurse.Cevap
  3. C
    Obtain an intravenous push opioid antagonist and administer it immediately to reverse the effects.
  4. D
    Administer the medication after identifying the client using the room and bed number on the door.

Cevap

Withhold the medication and immediately notify the registered nurse.
The client is exhibiting signs of severe respiratory depression, as evidenced by a respiratory rate of 8 breaths per minute and difficulty arousing. Opioid analgesics further depress the respiratory center. The safest and most appropriate action within the practical nurse's scope of practice is to withhold the medication and immediately escalate the critical finding to the registered nurse for further assessment.

Adım Adım Çözüm

1
Evaluate the client's vital signs against the medication's expected side effect profile.
The respiratory rate of 8 breaths per minute is identified as severe respiratory depression.
Opioid analgesics suppress the central nervous system, and a respiratory rate below 12 breaths per minute is a critical warning sign that requires intervention.
2
Determine the safest clinical action within the practical nurse's scope of practice.
The nurse must withhold the scheduled medication and alert the registered nurse.
Withholding the dose prevents further respiratory compromise, and the registered nurse must promptly assess the client to determine if further medical intervention is needed.

Anahtar Kavram

Opioid-induced respiratory depression and the practical nurse's scope of practice.
Tahmini Süre:45s
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Pharmacological Therapies

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