A patient who is using a fentanyl (Duragesic)patch and immediate-release morphine for chronic cancer pain develops new-onset confusion,dizziness,and a decrease in respiratory rate.Which action should the nurse take first?

Question

Quizplus · Accepted Answer

The assessment data indicate a possible overdose of opioid.The first action should be to remove the patch.Naloxone administration in a patient who has been chronically using opioids can precipitate withdrawal and would not be the first action.Notification of the health care provider and continued monitoring are also needed,but the patient's data indicate that more rapid action is needed.The respiratory rate alone is an indicator for immediate action before obtaining blood pressure,pulse,and temperature.

A Patient Who Is Using a Fentanyl (Duragesic)patch and Immediate-Release