A nurse cares for a cancer patient who has been on large doses of opioids for several months. When the patient is hospitalized and placed on PCA morphine, the nurse is concerned about the risk of respiratory depression
The first nursing action in this scenario would be to:
1. administer naloxone.
2. obtain a blood gas measurement.
3. measure oxygen saturation.
4. assess level of sedation.
Correct Answer: 4
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The nurse is caring for a patient who has just undergone paracentesis. For which complication will the nurse carefully monitor?
a. Collapse of the lung with shortness of breath b. Fecal impaction from retained barium in the colon c. Cerebrospinal fluid leak resulting in severe headache d. Perforation of the bowel resulting in abdominal infection
A 19-year-old woman had a mandibular osteotomy (jaw surgery) performed early this morning and is being assessed by the nurse after being transferred from the PACU
The nurse has asked the patient about her pain, to which the patient has responded, "I'm not really having any pain, but I've got a dull ache all around my jaw that's really bad." How should the nurse best interpret this patient's statement? A) The patient is not experiencing pain but likely requires interventions for her discomfort. B) The patient is misinterpreting her body's pain response. C) The patient is currently free of pain but is likely to experience pain in the near future. D) The patient is experiencing pain but is describing it in different terms.
A postpartum patient is experiencing painful hemorrhoids. Which position should the nurse suggest the patient use when resting?
A) Supine B) Sims position C) Knee–chest position D) Trendelenburg position
When assessing the respiratory status of a client, the nurse auscultates the lungs by:
A) listening for air exchange in the bronchus and anterior lobes. B) checking breath sounds in the anterior and posterior thorax. C) listening to breath sounds in the anterior and posterior lung bases. D) checking for adventitious sounds while having client cough.