A nurse is caring for a client who is receiving an oral solution of codeine to suppress a nonproductive cough. Which of the following is the nurse's data collection priority following administration of this medication?

Heart rate

Respiratory rate

Blood pressure

Level of consciousness

Answer and Explanation

The Correct Answer is B

A. Heart rate: While important, it is not as directly impacted by codeine as respiratory rate.
B. Respiratory rate: Codeine is an opioid and can cause respiratory depression. Monitoring respiratory rate is the priority.
C. Blood pressure: Hypotension may occur but is less urgent than respiratory depression.
D. Level of consciousness: Sedation is a possible effect, but respiratory rate takes precedence in monitoring.

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Correct Answer is D

Explanation

A. "Contact the provider if you experience unexplained muscle pain.": Muscle pain is not a typical adverse effect of exenatide; this advice would apply to statins or drugs associated with rhabdomyolysis.
B. "Take the medication at bedtime.": Exenatide is usually taken twice daily, 1 hour before morning and evening meals, not at bedtime.
C. "Discard excess medication after 60 days.": Exenatide pens should typically be discarded 30 days after opening, not 60 days.
D. "Inject the medication into the subcutaneous tissue of your abdomen.": Correct. Exenatide is administered subcutaneously, typically in the abdomen, thigh, or upper arm.

A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds). B. A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1). C. A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds). D. A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1).

Correct Answer is A

Explanation

A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds).: This is significantly elevated and indicates a risk for bleeding, as the therapeutic range for heparin is typically 1.5–2.5 times the normal value.
B. A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1): This is within the therapeutic range for most conditions treated with warfarin (e.g., 2.0–3.0).
C. A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds): This is slightly elevated but still within the therapeutic range for heparin (typically 60–80 seconds).
D. A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1): This is within the therapeutic range for most warfarin indications.

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A nurse is caring for a client who is receiving an oral solution of codeine to suppress a nonproductive cough. Which of the following is the nurse's data collection priority following administration of this medication?

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