The nurse receives orders for an opiate pain medication for a client with severe pain. What other order does the nurse anticipate getting?

Fluid restriction by mouth

A low salt diet

A chest x-ray

Stool softener medication

Antidiarrheal medication

Answer and Explanation

The Correct Answer is D

A. Fluid restriction by mouth is not typically necessary with opioid administration unless other health conditions require it.
B. A low salt diet is unrelated to opioid administration unless there are concurrent health issues like hypertension or fluid retention.
C. A chest x-ray is not indicated solely due to opioid use.
D. Stool softener medication is commonly prescribed alongside opioid medications because opioids frequently cause constipation due to reduced gastrointestinal motility.
E. Antidiarrheal medication is not needed, as opioids are more likely to cause constipation rather than diarrhea.

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Correct Answer is B

Explanation

A. Decreased lung sounds on expiration are common in COPD patients due to airway obstruction but do not necessarily indicate an acute issue.
B. Respirations are 40 breaths/minute is a critical finding, as this rapid respiratory rate suggests significant respiratory distress or worsening hypoxemia, which needs immediate intervention to prevent further complications.
C. An anterior-posterior diameter ratio of 1:1 (barrel chest) is a common finding in advanced COPD but does not indicate acute worsening.
D. Hyperresonance to percussion is typical in patients with COPD due to air trapping and does not suggest an immediate emergency.
E. Decreased tactile fremitus may occur in COPD due to increased air trapping but is not an urgent finding requiring immediate reporting.

A. question the patient about shortness of breath B. palpate the chest and back for masses C. inspect the skin and nails for integrity and color D. Ask the patient about color and quantity of sputum E. auscultate for lung sounds anteriorly and posteriorly

Correct Answer is ["A","D"]

Explanation

A. Asking about shortness of breath is critical subjective data that indicates respiratory distress.
B. Palpating for masses is more of a physical assessment and does not yield subjective data.
C. Inspecting skin and nails is also part of the objective assessment rather than subjective data.
D. Inquiring about the color and quantity of sputum provides important subjective data related to respiratory function.
E. Auscultation is an objective assessment technique and does not pertain to subjective data.

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The nurse receives orders for an opiate pain medication for a client with severe pain. What other order does the nurse anticipate getting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse obtains information when performing a focused assessment of a client with chronic obstructive pulmonary disease (COPD) who has been admitted with increasing dyspnea (shortness of breath) over the last 3 days. Which finding is most important to report to the health care provider?

Correct Answer is B

Explanation

What subjective data should the nurse obtain about a client's respiratory status? Select all that apply.

Correct Answer is ["A","D"]

Explanation

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