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 A

Explanation

A. Auscultate for any cardiac murmurs is correct, as a thrill often indicates turbulent blood flow, which may correlate with murmurs that can be heard upon auscultation.
B. Comparing apical and radial pulse rates is useful in assessing pulse deficits but does not directly address the cause of the thrill.
C. Palpating the quality of the peripheral pulses does not provide specific information about the thrill's origin.
D. Finding the point of maximal impulse is a useful cardiac assessment but does not directly explain the cause of the thrill.
E. Checking capillary refill time assesses peripheral perfusion but does not relate to the thrill's cause.

A. Closure of the pulmonic and mitral valves B. Closure of the tricuspid and mitral valves C. Closure of the aortic and pulmonic valves D. Closure of the aortic and mitral valves E. Closure of the pulmonic and tricuspid valves

Correct Answer is C

Explanation

A. The closure of the pulmonic and mitral valves corresponds to heart sound S1, not S2.
B. The tricuspid and mitral valves close with S1.
C. Heart sound S2 represents the closure of the aortic and pulmonic valves, signaling the end of systole and the beginning of diastole.
D. The mitral valve closes with S1, not S2.
E. The pulmonic and tricuspid valves do not correspond with S2.

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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?

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Naxlex Comprehensive Predictor Exams

When assessing a newly admitted client, the nurse notes a thrill along the left sternal border. To obtain more information about the cause of the thrill, which action will the nurse take next?

Correct Answer is A

Explanation

The nurse is asked to describe what the heart sound S2 represents. What would be the correct response by the nurse?

Correct Answer is C

Explanation

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