A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

temperature

pulse

blood pressure

respirations

Answer and Explanation

The Correct Answer is D

A.   Temperature monitoring is important but not a top priority when a patient is receiving opiates unless there is suspicion of infection.
B.   Pulse monitoring is also important but does not immediately indicate issues with opiate use.
C.   Blood pressure is influenced by opiate use, but the primary concern is respiratory function due to the risk of respiratory depression.
D.   Respirations should be closely monitored because opiates can significantly depress the respiratory system, leading to hypoventilation or respiratory arrest, which is the most critical risk.

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Correct Answer is C

Explanation

A. Waiting 30 minutes is unnecessary unless there is concern about an acute change in the patient's condition.
B. While both readings can be recorded, the difference between arms should be noted, as it can indicate underlying issues such as vascular problems.

C. It is important to retake the blood pressure on both arms to verify accuracy and check for any significant discrepancy.
D. Retaking the pressure on just one arm may miss important information about the other arm's readings.

A. gather information from a family member accompanying the patient. B. omit the interview and proceed to a physical examination. C. repeat the questions at the end of the visit to cross check for accuracy of data. D. reassure the patient that forgetfulness is a normal part of the aging process.

Correct Answer is A

Explanation

A. Gathering information from a family member can help obtain a more accurate history, especially when the patient has difficulty recalling specific details due to age-related memory changes.
B. Omitting the interview would lead to incomplete information and potentially delay appropriate care.
C. Repeating the questions may be helpful but may not always yield reliable data if the patient struggles to remember key details.
D. While forgetfulness can be normal with aging, healthcare providers need to ensure accurate information is collected to provide optimal care.

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A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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