A client with respiratory depression is administered an opioid antagonist by the nurse. What ongoing assessment should the nurse perform when administering the opioid antagonist to the client?
A) Monitor vital signs every 5 to 15 minutes.
B) Review allergy history and other treatment modalities.
C) Teach different breathing patterns to the client.
D) Monitor the blood pH level of the client.
Ans: A
Feedback:
The ongoing assessment performed by the nurse when administering an opioid antagonist to the client involves monitoring the vital signs of the client every 5 to 15 minutes. Monitoring the blood pH level of the client is not part of the ongoing assessment. Reviewing the allergy history and other treatment modalities and teaching different breathing patterns to the client are preadministration assessments that are performed before the administration of the drug; they are not ongoing assessments.
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