A client received "as needed" (PRN) morphine, lorazepam (Ativan), and cyclobenzaprine (Flexeril). The UAP reports that the client has a respiratory rate of 10/min. What is the priority action?
a) Call the physician to obtain an order for naloxone (Narcan).
b) Assess the client's responsiveness and respiratory status.
c) Obtain a bag-valve mask and deliver breaths at 20/min.
d) Double-check the drug order to see what the client should have received.
Answer: b) Assess the client's responsiveness and respiratory status.
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In evaluating pain for the management of myocardial infarction, the most important aspect using objective data is
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During an interaction between a nurse and client, the nurse conveys respect and an attitude that shows the nurse takes the client's opinions seriously by:
1. Leaning toward the client. 2. Facilitating and taking action. 3. Maintaining social distance. 4. Being concrete about actions to take.
Calculate the amount to administer: _____________. Ordered: Stelazine 5 mg IM now. On hand:
Stelazine 2 mg/mL. Fill in the blank(s) with correct word
Suppression has been likened to voluntary forgetting and is used to protect one's self-esteem. Which of the following statements alerts the nurse to the use of this mechanism by a 19-year-old woman who lost her leg in a car accident?
A) "I don't remember anything about what happened to me." B) "I'd rather not talk about it right now." C) "It's all Andy's fault! He was going 90 miles an hour on the freeway." D) "My mother is heartbroken about this."