The nurse is preparing to provide an opioid medication for a patient's postoperative pain. Which action should the nurse take first?
a. Determine the respiratory rate.
b. Observe the patient's skin color.
c. Take the patient's oral temperature.
d. Ask the patient when he last ate something.
ANS: A
Opioids are respiratory depressants, and respiratory function is a priority. B. C. D. Skin color, temperature, and oral intake may be helpful, but they are not the most important when providing this medication.
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How should the nurse document mild, slight pitting edema the ankles of a pregnant patient?
a. 1+/0-4+ b. 3+/0-4+ c. 4+/0-4+ d. Brawny edema
After a person falls, you need to:
a. Provide a walking aid b. Call for the nurse c. Call the family d. Call the doctor.
The care plan states that you are to use hand-over-hand technique for Mrs. Lee at mealtime. You know this means
A. teach Mrs. Lee to put one hand on top of the other when eating. B. have Mrs. Lee use both hands to prepare her food. C. place your hand over Mrs. Lee's hand when feeding. D. place your hand under Mrs. Lee's hand when feeding.
The recommended sequence for conducting assessment procedures is to progress from
a. one side to the other. c. anterior to posterior. b. the extremities to the trunk. d. the least intrusive to the most intrusive.