A nurse has administered an opioid to a client. Which of the following would the nurse do if the client shows a decrease in respirations?
A) Monitor and encourage the client to cough and breathe deeply every 2 hours.
B) Instruct the client to restrict his consumption of liquids.
C) Instruct the client to take complete bed rest.
D) Instruct the client to avoid any kind of exercise.
Ans: A
Feedback:
The nurse should encourage the client to cough and breathe deeply every 2 hours if the client shows a decrease in respirations after the administration of opioid analgesics. The nurse need not instruct the client to restrict his consumption of liquids to help him cope with the effects of an ineffective breathing pattern. The nurse should perform tasks such as getting the client out of bed and encouraging therapeutic activities such as leg exercises (when ordered); therefore, the nurse should not instruct the client to avoid any kind of exercise or to take complete bed rest.
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