A client with end-stage cancer receiving Morphine is prescribed Methylnaltrexone. The client's daughter asks why the provider prescribed Methylnaltrexone. Which of the following responses should the nurse make?- Skildor

Question 1 of 5

A client with end-stage cancer receiving Morphine is prescribed Methylnaltrexone. The client's daughter asks why the provider prescribed Methylnaltrexone. Which of the following responses should the nurse make?

A. The medication will increase your mother's respirations. B. The medication will prevent dependence on the Morphine. C. The medication will relieve your mother's constipation. D. The medication works with the Morphine to increase pain relief.

Correct Answer: C

Rationale: Methylnaltrexone is an opioid antagonist used to treat severe constipation unrelieved by laxatives in opioid-dependent clients. It blocks the mu opioid receptors in the GI tract, helping to alleviate constipation without affecting pain relief or causing withdrawal symptoms.

Question 2 of 5

A healthcare provider is preparing to administer a transfusion of a unit of packed red blood cells (PRBCs) for a client who has severe anemia. Which of the following interventions will prevent an acute hemolytic reaction?

A. Ensure that the client has a patent IV line before obtaining the blood product from the refrigerator. B. Obtain help from another healthcare provider to confirm the correct client and blood product. C. Take a complete set of vital signs before beginning the transfusion and periodically during the transfusion. D. Stay with the client for the first 15 to 30 minutes of the transfusion.

Correct Answer: B

Rationale: The correct answer is to obtain help from another healthcare provider to confirm the correct client and blood product. This action is crucial in preventing an acute hemolytic reaction, which is caused by ABO or Rh incompatibility. Verifying the correct client and blood product before the transfusion ensures that there are no errors in identification, reducing the risk of a potentially life-threatening reaction.

Question 3 of 5

A client with Angina Pectoris asks the nurse about the next step if they take one tablet, wait 5 minutes, but still have Anginal pain. Which response should the nurse provide?

A. Take two more sublingual tablets at the same time. B. Call emergency services. C. Take a sustained-release nitroglycerin capsule. D. Wait another 5 minutes then take a second sublingual tablet.

Correct Answer: B

Rationale: In case anginal pain persists after taking the first tablet and waiting 5 minutes, the priority step is to call emergency services (911) and then take a second sublingual tablet. Persistent pain could indicate a myocardial infarction, and immediate medical attention is crucial. If the pain continues even after the second tablet, the client can take a third tablet after an additional 5-minute wait.

Question 4 of 5

A client in an acute care facility is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication?

A. Intestinal ileus B. Neutropenia C. Delirium D. Hyperthermia

Correct Answer: C

Rationale: The correct answer is C: Delirium. When IV Nitroprusside is infused at high dosages, it can lead to thiocyanate toxicity, causing mental status changes such as delirium. It is crucial to monitor the thiocyanate levels to ensure they remain below 10 mg/dL during therapy to prevent adverse effects.

Question 5 of 5

A client with end-stage cancer receiving Morphine has been prescribed Methylnaltrexone. The client's daughter asks about the purpose of Methylnaltrexone. Which response should the nurse provide?

A. The medication will increase your mother's respirations. B. The medication will prevent dependence on the Morphine. C. The medication will relieve your mother's constipation. D. The medication works with the Morphine to increase pain relief.

Correct Answer: C

Rationale: Methylnaltrexone is an opioid antagonist used to treat severe constipation unresponsive to laxatives in opioid-dependent clients. It functions by blocking the mu opioid receptors in the gastrointestinal tract, helping alleviate constipation associated with opioid use.

ATI Pharmacology Proctored Exam 2023

Skildor

ATI RN

ATI RN

ATI Pharmacology Proctored Exam 2023 Questions

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