WorksheetsNursing Opioid Use and Safety Worksheet
Total questions: 20
Worksheet time: 30mins
A client who had abdominal surgery 4 hours ago reports pain rated 8/10. The nurse notes RR 10/min, BP 92/60 mmHg, P 54 bpm, and O₂ sat 88% on room air. What is the nurse’s priority action?
Hold the opioid dose and notify the provider
Administer prescribed morphine IV as ordered
Reassess pain in 30 minutes
Document the findings and continue monitoring
The nurse is educating a patient about opioid use at home. Which teaching point is most important for safety?
Take the medication before pain becomes severe
Store opioids in a locked cabinet
Increase fluids to prevent constipation
Avoid caffeine with medication
A nurse finds a discrepancy in the controlled substance count for oxycodone. What should the nurse do first?
Notify the nurse manager and follow facility protocol
Correct the count alone and sign it
Ignore it until the next shift
Ask another nurse to fix it
A patient receives morphine 2 mg IV push. After 15 minutes, the patient reports pain relief and RR 14. What should the nurse do?
Continue to monitor and document effectiveness
Administer naloxone
Give another 2 mg immediately
Hold future doses
A patient who received morphine now shows pinpoint pupils, slow respirations, and low LOC. Which order should the nurse expect?
Administer naloxone
Increase IV fluids
Prepare for intubation
Reassess in 30 minutes
A patient who received morphine now shows pinpoint pupils, slow respirations, and low LOC. Which order should the nurse expect?
Naloxone 0.4 mg IV
Atropine 0.5 mg IV
Epinephrine 1 mg IM
Diazepam 10 mg IV
A patient receiving fentanyl reports feeling lightheaded and dizzy upon standing. Which intervention is most appropriate?
Encourage rapid position changes
Instruct to rise slowly and dangle legs before standing
Hold the medication permanently
Increase opioid dose to compensate
Which nursing diagnosis is most appropriate for a patient on opioids who has RR 8/min and pulse oximetry of 89%?
A. Activity intolerance related to weakness
B. Impaired gas exchange related to slow breathing
C. Ineffective airway clearance related to secretions
D. Anxiety related to hypoxia
Before administering morphine to a postoperative client, which assessment should the nurse perform first?
Assess level of pain and location
Assess respiratory rate and depth
Check bowel sounds
Check urine output
Which statement by the client indicates understanding of acetaminophen teaching?
I can take this for inflammation.
I’ll avoid alcohol while taking this medicine.
It’s safe to take up to 5 grams a day.
I’ll take this on an empty stomach.
A client arrives at the ED after ingesting a large amount of acetaminophen. What medication does the nurse expect to administer?
Naloxone (Narcan)
Acetylcysteine (Mucomyst)
Atropine sulfate
Protamine sulfate
Which early signs should the nurse monitor for in acetaminophen toxicity?
Nausea, vomiting, abdominal discomfort
Jaundice and confusion
Hypotension and bleeding gums
Bradycardia and hypothermia
A client with postoperative urinary retention is prescribed bethanechol. Which assessment finding indicates the medication is effective?
The client reports relief of pain
The client voids within 1 hour of administration
The client reports decreased bladder pressure
The client’s BP increases slightly
A client is brought to the ER with anaphylaxis after a bee sting. Which assessment finding indicates that epinephrine is effective?
Decreased heart rate
Improved airway and decreased wheezing
Decreased blood pressure
Increased drowsiness
A client taking ibuprofen for arthritis reports black tarry stools. What should the nurse do first?
Encourage more fluids
Document as expected
Hold the medication and notify the provider
Suggest taking it with food
A nurse is caring for a client with arthritis who reports taking large doses of aspirin for pain relief. Which finding indicates salicylate toxicity (salicylism)?
Blurred vision
Tinnitus and dizziness
Constipation
Bradycardia
A nurse is teaching a client prescribed low-dose aspirin therapy. Which statement by the client indicates a need for further teaching?
I’ll take aspirin with a full glass of water.
I’ll stop taking aspirin if I notice black stools.
I can take ibuprofen at the same time for extra pain relief.
I’ll notify my dentist that I’m on aspirin.
A client with a history of peptic ulcer disease asks if they can take aspirin for headaches. What should the nurse respond?
It’s safe if you take it with milk.
You should avoid aspirin and use acetaminophen instead.
Take enteric-coated aspirin only.
Take a proton pump inhibitor with it.
The nurse is assessing a child with a recent viral infection whose parent reports giving aspirin for fever. Which complication should the nurse suspect?
Reye’s syndrome
Stevens–Johnson syndrome
Toxic epidermal necrolysis
Guillain–Barré syndrome
The nurse is caring for an older adult on daily aspirin and notices bruising on the arms and legs. What is the priority nursing action?
Notify the healthcare provider.
Administer vitamin K.
Discontinue aspirin immediately.
Apply ice to the bruises.
