Which of the following objective assessment data will the nurse obtain before administering a prescribed opioid medication to a client?
1. Pain level as stated by client
2. Any nausea the client may be feeling
3. Respiratory rate
4. Color of skin
Correct Answer: 3
Rationale 1: This is subjective data.
Rationale 2: This is subjective data.
Rationale 3: Opioids may depress the respiratory system, so the nurse should assess the respiratory rate before administering opioids.
Rationale 4: This is not applicable to assess prior to administering an opioid medication to a client.
You might also like to view...
Which of the following areas contains the bulk of the questions on the NCLEX-RN exam?
a. safe, effective care environment c. psychological integrity b. physiological integrity d. health promotion and maintenance
A client experiences an ectopic pregnancy following two episodes of PID. The nurse explains that the most likely reason for this occurrence is
a. delayed ovulation b. disturbances of the normal menstrual cycle c. rapid transport of the fertilized egg d. scar tissue in the fallopian tubes
During admission, a laboring patient tells the nurse, "I'm so afraid I'll need a cesarean section. I don't want to be asleep for surgery when my baby is born!" Which of the following nursing responses is most appropriate?
1. "If a cesarean section is needed, that doesn't necessarily mean you'll need to go to sleep for surgery." 2. "Your anesthesia provider will require that you go to sleep for surgery." 3. "We'll do our best to make sure you deliver vaginally, so you don't need to have a cesarean section." 4. "If you need a cesarean section, the anesthesia provider will awaken you as soon as possible after delivery so that you can see your baby quickly."
Convert 0015 to conventional time: ________.
What will be an ideal response?