Question

The registered nurse and a nursing student are discussing opioid pain management therapy and naloxone (Narcan). Which of the nursing student's statements indicate a need for further teaching? Select all that apply.

Option 1: "The infusion rate of an intravenous push of naloxone should be 0.5 mL for 1 minute."
Option 2: "0.4 mg of naloxone should be diluted with 15 mL saline."
Option 3: "Opioid-naïve patients should be closely monitored for sedation."
Option 4: "Administering naloxone faster than the recommended rate may cause severe pain."
Option 5: "If an adult patient experiences respiratory depression, naloxone should be administered."

Answer 1

Options 1 and 4 from the nursing student's statements about naloxone administration indicate a need for further teaching, as they contain information that may not align with current medical protocols and understanding of naloxone's effects.

Step-by-step explanation:

In assessing the nursing student's understanding of opioid pain management and naloxone (Narcan), several statements need to be evaluated for accuracy:

• Option 1 suggests a specific infusion rate for an intravenous push of naloxone that should be verified against clinical guidelines.
• Option 2 implies a certain dilution protocol for naloxone which should align with standard medical procedures.
• Option 3 relates to the monitoring of opioid-naïve patients, which is indeed necessary due to the risk of sedation.
• Option 4 mentions the risk of severe pain when naloxone is administered too quickly, which reflects the potential adverse effects.
• Option 5 is accurate as naloxone is indicated for use in cases of respiratory depression in adults due to opioid overdose.

Thus, the statements indicating a need for further teaching include Options 1 and 4. Option 1 because the rate of administration should adhere to current medical protocols, and Option 4 because while administering naloxone too rapidly can cause withdrawal symptoms, severe pain is not typically described as a direct result of the administration speed.