A nurse is assessing a client who is to receive an opioid analgesic. The nurse would contact the primary health care provider immediately if which of the following occur? Select all that apply
A) Respiratory rate of less than 10 breaths/min
B) Decrease in pulse
C) Increase in pulse
D) Increase in blood pressure
E) Blood pressure of 90/65 mm Hg
Ans: A, B, C, E
Feedback:
The nurse should contact the primary health care provider immediately if any of the following occur while a client is receiving an opioid analgesic: significant decrease in respiratory rate or a respiratory rate less than 10 breaths/min; significant increase or decrease in the pulse rate or a change in the pulse quality; or significant decrease in blood pressure or a systolic blood pressure below 100 mm Hg.
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