The client was given 15 mg of morphine IM for postsurgical pain. When the nurse checks the client for pain relief 1 hour later, the client is sleeping and has a respiratory rate of 10 breaths/min. What is the nurse's first action?
a. Administering naloxone (Narcan) IV push
b. Administering oxygen by nasal cannula
c. Arousing the client by calling his or her name
d. Documenting the findings and continuing to monitor
C
Many clients experience some degree of respiratory depression with opioid analgesics. If the client can be aroused with minimally intrusive techniques and the rate of respiration is increased spontaneously, no further intervention is required.
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A factory night shift worker tells the industrial nurse that he is having trouble getting to sleep when
he goes home after a night's work. He mentions that he has a hearty breakfast and a few cups of coffee, reads the paper, does his exercises, and then goes to bed and lies awake until it is nearly time to get up to be with his family at dinner. What change should the nurse suggest? (More than one answer may be correct.) A. Drink decaffeinated coffee after 3 AM. B. Do not read the paper. C. Exercise after awakening. D. Eat a light breakfast.
The nurse is providing patient education on the prevention of osteoporosis. Which of the following, when stated by the patient, best demonstrates a need for further teaching? "I can help prevent osteoporosis by
a. consuming a diet high in phosphorus." b. performing weight-bearing exercises." c. avoiding alcohol." d. avoiding smoking."
Assessment of the endocrine system includes the client's physical exam, positive and negative findings, and results of diagnostic tests. On which one of the endocrine system's glands can the nurse perform a physical assessment?
a. pancreas c. adrenals b. thyroid d. parathyroid
The strongest evidence regarding normal physiological aging is available through
A. Randomized controlled clinical trials B. Cross-sectional studies C. Longitudinal studies D. Case control studies