Mixed Agonists/Antagonists
Mixed Agonists/Antagonists ( 5 Questions)
A nurse is reviewing the medical record of a client who is receiving nalbuphine (Nubain) for postoperative pain.
The nurse should identify that which of the following findings is a contraindication for this medication?
The client has a history of asthma. This is a contraindication for nalbuphine (Nubain) because it can cause significant respiratory depression and exacerbate bronchospasm. Nalbuphine is also contraindicated in patients with known or suspected gastrointestinal obstruction, including paralytic ileus.
A blood pressure of 150/90 mm Hg is not a contraindication for nalbuphine. Nalbuphine has minimal effects on blood pressure and heart rate.
A heart rate of 100/min is not a contraindication for nalbuphine. Nalbuphine has minimal effects on blood pressure and heart rate.
A history of glaucoma is not a contraindication for nalbuphine. Nalbuphine does not increase intraocular pressure.
The client has a history of asthma. This is a contraindication for nalbuphine (Nubain) because it can cause significant respiratory depression and exacerbate bronchospasm. Nalbuphine is also contraindicated in patients with known or suspected gastrointestinal obstruction, including paralytic ileus.
Choice B is wrong because a blood pressure of 150/90 mm Hg is not a contraindication for nalbuphine. Nalbuphine has minimal effects on blood pressure and heart rate.
Choice C is wrong because a heart rate of 100/min is not a contraindication for nalbuphine. Nalbuphine has minimal effects on blood pressure and heart rate.
Choice D is wrong because a history of glaucoma is not a contraindication for nalbuphine. Nalbuphine does not increase intraocular pressure.