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

Lowering blood pressure

Causing drowsiness

Inducing a cough

Slowing the respiratory rate

Answer and Explanation

The Correct Answer is D

Choice A reason: While opioids can lower blood pressure, it is not as common as respiratory depression.

Choice B reason: Causing drowsiness is a common side eﬀect of opioids, but it is less critical than respiratory eﬀects.

Choice C reason: Opioids do not typically induce a cough; they may actually suppress coughing.

Choice D reason: Opioids can slow the respiratory rate, which is a critical side eﬀect that nurses must monitor for and educate patients about.

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Correct Answer is B

Explanation

The correct answer is choice B. Raise the head of the bed.

Choice A rationale:

Increasing the patient’s oral fluid intake is important for hydration and thinning secretions, but it is not the immediate priority when oxygen saturation is critically low.

Choice B rationale:

Raising the head of the bed helps improve lung expansion and facilitates easier breathing, which can quickly improve oxygen saturation levels. This is a critical first step in managing low oxygen saturation.

Choice C rationale:

Initiating humidified oxygen therapy is essential for improving oxygenation, but it should follow the immediate action of raising the head of the bed to optimize breathing.

Choice D rationale:

Encouraging the patient to cough and deep breathe is beneficial for clearing secretions and improving lung function, but it is not the first action to take when oxygen saturation is critically low.

A. Trousseau's sign B. Carpopedal spasm C. Chvostek's sign D. Korsakoﬀ's psychosis

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Trousseau's sign is indicative of hypocalcemia and is elicited by inﬂating a blood pressure cuﬀ on the arm.

Choice B reason: Carpopedal spasm is a muscular spasm involving the hands and feet that can occur with hypocalcemia.

Choice C reason: Chvostek's sign is a facial twitching that occurs when tapping on the facial nerve in front of the ear, which can be a sign of hypocalcemia.

Choice D reason: Korsakoﬀ's psychosis is associated with chronic alcoholism and thiamine deficiency, not directly with hypocalcemia.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has pneumonia. The patient's oxygen saturation is 85%. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is assisting with the care of a patient who has hypocalcemia. For which of the following signs should the nurse monitor?

Correct Answer is ["A","B","C"]

Explanation

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