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 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.

A. Request a different medication from the provider. B. Premedicate the client with diphenhydramine. C. Administer the medication to the client. D. Request a different route of administration from the provider.

Correct Answer is C

Explanation

A. Request a different medication from the provider: Erythromycin is an alternative to penicillin for patients with penicillin allergies and can be administered safely.
B. Premedicate the client with diphenhydramine: This is not necessary unless the client has a history of allergic reactions to erythromycin or other antibiotics.
C. Administer the medication to the client: Erythromycin is a macrolide antibiotic and is safe for clients who are allergic to penicillin.
D. Request a different route of administration from the provider: The route of administration (oral) is appropriate unless there is a specific concern.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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