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    ATI RN Pharmacology 2023 IV proctored exam

    A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?

    Explanation & Rationale

    A. Oxycodone does not directly inhibit prostaglandin synthesis. Its primary mechanism of action is through binding to opioid receptors in the central nervous system (CNS), particularly the mu-opioid receptors. While prostaglandins play a role in pain perception and inflammation, they are not directly involved in oxycodone-induced respiratory depression.B. Oxycodone binds to opioid receptors in the CNS, particularly in the brainstem, which houses the respiratory centers. Activation of these receptors leads to a reduction in neurotransmitter release, including those responsible for stimulating respiratory drive. As a result, the respiratory rate decreases, and if the depression is severe, it can lead to hypoventilation or respiratory arrest.C. Oxycodone does not block sodium channels in the same manner as local anesthetics. Its effects are primarily mediated through opioid receptor binding and subsequent CNS depression, rather than by affecting nerve conduction through sodium channels.D. Its effects are centrally mediated through opioid receptor binding, resulting in pain relief, sedation, and respiratory depression. Vasodilation of cranial arteries is not a known effect of oxycodone.

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