The nurse is administering morphine sulfate to a client who had a myocardial infarction. What vital sign would the nurse monitor that directly relates to the use of this narcotic?
A) Heart rate
B) Respiratory rate
C) Temperature
D) Pulse
B
Feedback:
The first sign of narcotic overdose is often respiratory depression. Therefore, monitoring the client's vital signs, particularly respirations, is extremely important when administering narcotics.
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An older patient with osteoarthritis is prescribed acetaminophen (Tylenol) for pain. What should the nurse teach the patient about this medication?
1. Excessive acetaminophen can cause gastrointestinal irritation. 2. Taking acetaminophen around-the-clock will slow the progression of osteoarthritis. 3. Acetaminophen cannot be used with nonsteroidal anti-inflammatory drugs (NSAIDs). 4. The maximum amount of acetaminophen should not exceed 4 grams in a 24-hour period.
The physician performs an episiotomy. The cut is made directly toward, but not into, the rectal muscle. This episiotomy is called
a. lateral c. midline b. mediolateral d. posterior
The client is taking a medication for an endocrine problem that inhibits aldosterone secretion and release. For what complications of this therapy should the nurse be alert?
A. Dehydration, hypokalemia B. Dehydration, hyperkalemia C. Overhydration, hyponatremia D. Overhydration, hypernatremia
A patient with terminal cancer is taking high doses of a narcotic for pain. The nurse will teach the patient or family about what common side effect of opioids?
A) inability to change positions C) diarrhea B) problems with communication D) constipation