The nurse is caring for a patient receiving warfarin and notes bruising and petechiae on the patient's extremities.
The nurse will request an order for which?

Choice A rationale

Administering a non-steroidal anti-inflammatory drug (NSAID) is not a priority action for a patient who has received a narcotic analgesic. The priority should be to ensure the patient’s safety and prevent falls, which can occur due to the sedative effects of narcotics.

Choice B rationale

Putting side rails up and placing the bed in the lowest position is essential for patient safety. Narcotics can cause dizziness, drowsiness, and impaired coordination, increasing the risk of falls. Ensuring the bed is in the lowest position and side rails are up helps prevent injury if the patient tries to get up.

Choice C rationale

Encouraging fluids is beneficial for many patients, but it is not the priority action when a patient has received a narcotic analgesic. Hydration is important but secondary to ensuring the patient’s immediate safety.

Choice D rationale

Creating a restful, dark environment may help the patient rest, but it does not directly address the immediate safety needs of a patient who has received a narcotic analgesic. The focus should be on preventing falls and injury.

Choice A rationale

Treatment of narcotic dependence involves using a narcotics antagonist to block the effects of narcotics. This helps prevent relapse in patients recovering from narcotic addiction by decreasing cravings and withdrawal symptoms.

Choice B rationale

Treatment of alcohol dependence does not typically involve narcotics antagonists. Instead, medications like disulfiram or naltrexone are used to manage alcohol dependence.

Choice C rationale

Reversal of tachycardia is not an indication for a narcotics antagonist. Tachycardia is usually managed with medications like beta-blockers or calcium channel blockers.

Choice D rationale

Reversal of bronchoconstriction is not an indicator for narcotics antagonists. Bronchoconstriction is usually treated with bronchodilators such as albuterol or ipratropium.