When administering an opioid antagonist drug to a client, the primary goal of the therapy is to provide:
A return to normal respiratory rate, rhythm, and depth.
Management of alcohol withdrawal symptoms.
A reduction in the client's rating of their pain.
Alertness and improve memory function.
The Correct Answer is A
A. A return to normal respiratory rate, rhythm, and depth is correct because opioid antagonists, such as naloxone, are primarily used to reverse the respiratory depression caused by opioid overdose.
B. Management of alcohol withdrawal symptoms is incorrect; opioid antagonists do not address alcohol withdrawal.
C. A reduction in the client's rating of their pain is incorrect; opioid antagonists counteract the effects of opioids, which can result in increased pain levels rather than reduction.
D. Alertness and improve memory function is incorrect; while opioid antagonists may improve alertness by reversing sedation, the primary goal focuses on restoring respiratory function.
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Correct Answer is D
Explanation
A. Taking smaller doses of decongestants several times a day may be appropriate for some medications but does not address the risk of rebound congestion associated with prolonged use.
B. Expecting relief within a few days may not be realistic if the cold symptoms persist for 2 weeks, indicating a potential need for further evaluation.
C. OTC decongestants can be effective, and many patients find relief from symptoms without requiring a prescription.
D. Using decongestants for an extended period can lead to rebound congestion, where nasal passages become more congested once the medication is stopped, making this a crucial point for the nurse to communicate.
Correct Answer is A
Explanation
A. The combination of nitroglycerin and sildenafil can lead to severe hypotension due to the vasodilatory effects of both medications. This is the most critical adverse reaction the nurse should anticipate.
B. Bradycardia is not a direct effect of this combination; rather, hypotension is a more significant concern.
C. Chest pain may occur if hypotension leads to inadequate perfusion, but it is not a direct adverse effect of the drug interaction.
D. Nausea can occur with various medications, but it is not specifically linked to the interaction between nitroglycerin and sildenafil.