A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?
Increasing coughing
Reducing anxiety
Increasing blood pressure
Increasing the client's respiratory rate
The Correct Answer is B
Choice A reason: Opioid analgesics do not typically increase coughing; they may actually suppress cough reflexes.
Choice B reason: Opioid analgesics are known to have a calming effect, which can help reduce anxiety in postoperative patients.
Choice C reason: Opioids can lead to decreased blood pressure, not an increase.
Choice D reason: Opioids typically decrease the respiratory rate, which is a potential side effect that needs to be monitored.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: An illusion is a misinterpretation of a real external stimulus. Mr. S is mistaking the cracks in the plaster for snakes, which is an illusion.
Choice B reason: A flashback is a vivid memory of a traumatic event that feels like it is happening again. This does not describe Mr. S's experience.
Choice C reason: A hallucination is a sensory experience of something that does not exist outside the mind. Since Mr. S is misinterpreting an actual visual stimulus (the cracks), it is not a hallucination.
Choice D reason: A delusion is a firmly held false belief resistant to reason or confrontation with actual fact. Mr. S's belief is based on a misinterpretation of a visual stimulus, not a delusion.
Correct Answer is D
Explanation
Choice A reason: Setting consequences just before the behavior occurs does not provide clear expectations and boundaries for the patient.
Choice B reason: Setting consequences after the behavior is done may not effectively prevent the behavior and can lead to inconsistent enforcement.
Choice C reason: Waiting for complaints before setting consequences can lead to a reactive rather than proactive approach to care.
Choice D reason: Consequences should be clearly communicated when the limit is set to establish clear boundaries and expectations, which is essential in managing patients with personality disorders.
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