The nurse is preparing to provide an opioid medication for surgical pain. Which of the following actions should the nurse take first?

a. Determine the respiratory rate.
b. Observe the patient's skin color.
c. Take the patient's oral temperature.
d. Ask the patient when he last ate something.


ANS: A
Opioids are respiratory depressants, and respiratory function is a priority. Skin color, temperature, and oral intake may be helpful, but they are not most important.

Nursing

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Which of the following statements describes one of the standards of case management during hospitalization?

a. Begin discharge planning on the first day of hospitalization. b. Keep an older adult in the hospital as long as necessary. c. Accept the hospital discharge planner's (HDP) proposal for discharge. d. Assist hospital personnel to focus on the admission complaint.

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The nurse from a dialysis center calls a nurse in the emergency eepartment to report that a client with type 2 diabetes mellitus is on the way to the ED and is experiencing hyperosmolar hyperglycemic state (HHS)

The nurse should prepare which fluid for resuscitation? 1. Normal saline and an insulin drip 2. Half normal saline and glipizide IV 3. 5% dextrose solution and half normal saline 4. 10% dextrose solution and potassium drip

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1. Iron deficiency anemia, vitamin B12 and calcium deficiency 2. Folate and magnesium deficiency 3. Elevated uric acid levels leading to gout 4. Hypokalemia and hypocalcemia

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A nurse is educating the parents of an infant about possible health problems during infancy. Which of the following health problems during infancy is most serious?

A) Colic B) Seborrheic dermatitis C) Failure to thrive D) SIDS

Nursing