A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

Choice A reason: A positive pregnancy test is a significant concern for a patient preparing for surgery as it can affect the type of anesthesia used and the surgical approach, due to the potential impact on the fetus.

Choice B reason: While a family history of hypertension is important, it is not as immediately concerning as a positive pregnancy test in a patient preparing for surgery.

Choice C reason: A signed advance directive is a document that outlines a patient's wishes regarding medical treatment and is not a concern but rather a part of preoperative preparation.

Choice D reason: A medical history of diabetes is important to consider in surgical patients due to potential complications with wound healing and blood glucose control, but it is not as urgent as confirming pregnancy status before surgery.

Choice A reason: Schizotypal personality disorder is characterized by odd beliefs, eccentric behavior, and difficulty with social relationships, yet individuals can still function in society.

Choice B reason: Narcissistic personality disorder involves a pattern of grandiosity and a need for admiration, not necessarily bizarre behavior.

Choice C reason: Antisocial personality disorder is marked by a disregard for the rights of others, not specifically bizarre behavior.

Choice D reason: Borderline personality disorder includes instability in relationships and self-image, which may not be described as "very bizarre behavior".