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.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Retailers use trade or generic names; trade isn’t exclusive here, as generics are sold too, making this a shared rather than unique trait.
Choice B reason: Chemical names define molecular structure (e.g., acetaminophen); trade names (e.g., Tylenol) are brand-specific, not tied to chemistry recognition.
Choice C reason: Orders use trade or generic names (e.g., Zestril or lisinopril); trade isn’t the only option, as generics are equally valid in prescriptions.
Choice D reason: Trade names are trademarked (e.g., Viagra); this legal protection distinguishes them from generic or chemical names, ensuring brand exclusivity.
Correct Answer is D
Explanation
Choice A reason: Half a tablet (10 mg) underdoses; expired drugs may degrade, and 40 mg is needed for diuresis, risking therapeutic failure in this scenario.
Choice B reason: Two tablets (40 mg) meet the dose but are expired; potency loss post-April 2013 risks inefficacy or toxicity, compromising patient safety.
Choice C reason: Seeking 40-mg tablets ignores expiration; even if available, current stock is outdated, and fresh supply is still required for reliable effect.
Choice D reason: Expired drugs (April 2013) lose potency; a new bottle ensures 40 mg of active furosemide, maintaining efficacy and safety for hypertension or edema.
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