When a nurse checks a postoperative client for pain relief 30 minutes after the client started patient-controlled analgesia (PCA) with morphine, the client is sleeping and has a respiratory rate of 8 breaths/minute
What is the nurse's best first action? A. Attempt to arouse the client by calling his or her name and lightly shaking the client's arm.
B. Administer oxygen by mask and apply an apnea monitor.
C. Document the finding as the only action.
D. Notify the physician immediately.
A
Many clients experience some degree of respiratory depression with opioid analgesics. If the client can be aroused with minimally intrusive techniques and increases the rate of respiration spontaneously, no further intervention is required.
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A young boy has just returned home from his family's tropical vacation and is now complaining of worsening tenderness in his right ear. He is subsequently diagnosed with otitis externa
What causative factor of this infection should the nurse suspect? A) Immunocompromised state resulting from sleep deprivation while on vacation B) The potential for foodborne pathogens ingested while on vacation C) Frequent swimming and water sports while the boy was on vacation D) Ear trauma related to pressurization and depressurization while flying
A woman arrives at the hospital complaining of chest pains and shortness of breath. She has come in several times over the past two 2 weeks and the staff is doubtful that her symptoms are real
What is the first action for the health care team to implement? a. Complete a history, physical, and diagnostics. b. Arrange for a psychiatric consult. c. Provide discharge instructions and arrange for a follow-up visit. d. Obtain a prescription for an antianxiety agent.
The nurse is assessing a client's burn for the zones of injury. Which of the following will the nurse not assess in the client at this time?
1. Zone of coagulation 2. Zone of eschar 3. Zone of hyperemia 4. Zone of stasis
A nurse is instructing a client on the method of intake of two liquid medications. Which
should the nurse tell the client regarding mixing the medication? A) Allow the medication to stand for 10 minutes after mixing B) Refrigerate the mixture half an hour before intake C) Keep the mixed medication in a dark glass bottle D) Take the medication immediately after mixing