A patient in pain requests the prescribed pain medication, which is an opioid. Which nursing assessment is essential before administering the opioid?
Blood pressure
Temperature
Pulse
Respiratory
The Correct Answer is D
Choice A reason: Blood pressure matters but isn’t primary; opioids rarely cause acute hypotension initially, and respiratory depression is a more immediate life-threatening risk.
Choice B reason: Temperature is unrelated; opioids don’t primarily affect fever, and this assessment doesn’t address the critical safety concern of opioid administration.
Choice C reason: Pulse is secondary; opioids may slow heart rate mildly, but respiratory suppression is the urgent risk, requiring priority monitoring before dosing.
Choice D reason: Respiratory rate is critical; opioids depress the brainstem, risking apnea, and assessing breathing ensures safety before administering this high-risk medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: 610 mL omits ice cream (120 mL); total is 120 + 120 + 260 + 90 + 120 = 710 mL; this undercalculation misses a key liquid intake component.
Choice B reason: 710 mL sums all: 120 (juice) + 120 (milk) + 260 (coffee) + 90 (ice pop) + 120 (ice cream); melted solids count as fluid, matching clinical standards.
Choice C reason: 810 mL overestimates; no additional fluids are listed beyond 710 mL; this error likely adds non-existent intake, skewing the total inaccurately.
Choice D reason: 910 mL vastly exceeds reality; it may double-count or invent fluids; only 710 mL is supported by the listed consumption data provided.
Correct Answer is A
Explanation
Step 1 is 2 hours × 60 minutes = 120 minutes.
Step 2 is (250 mL ÷ 120 minutes) × 15 gtts/mL.
Step 3 is 2.08333 mL/min × 15 gtts/mL = 31.24995 gtts/min.
Step 4 is 31.24995 rounded to the nearest whole number is 31.
The final calculated answer is 31 gtts/min.
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