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 A
Explanation
Choice A reason: Deltoid and vastus lateralis are large muscles with good vascularity; they safely absorb IM injections, minimizing nerve damage or tissue irritation risks.
Choice B reason: Chest and abdomen lack sufficient muscle mass for IM; these are subcutaneous or IV sites, risking poor absorption or injury if used intramuscularly.
Choice C reason: Forearm and scapula are too thin or bony; IM injections here risk nerve or bone damage, lacking the muscle bulk needed for safe drug delivery.
Choice D reason: Lower leg (e.g., calf) has small muscles and major vessels; IM use risks vascular injury or slow absorption, making it an unsafe injection site.
Correct Answer is D
Explanation
Choice A reason: Biofeedback uses devices to monitor physiological signals (e.g., heart rate); it doesn’t involve hands altering energy fields, focusing on self-regulation instead.
Choice B reason: Allopathic is conventional medicine (e.g., drugs, surgery); it relies on empirical science, not energy field manipulation, differing from the described technique.
Choice C reason: Imagery involves mental visualization for relaxation; it’s cognitive, not physical, and lacks the hands-on energy assessment central to the practice.
Choice D reason: Therapeutic touch uses hand passes to sense and adjust energy fields; it aims to reduce tension, aligning precisely with the described holistic method.
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