A nurse is caring for a client who is receiving an oral solution of codeine to suppress a nonproductive cough. Which of the following is the nurse's data collection priority following administration of this medication?
Heart rate
Respiratory rate
Blood pressure
Level of consciousness
The Correct Answer is B
A. Heart rate: While important, it is not as directly impacted by codeine as respiratory rate.
B. Respiratory rate: Codeine is an opioid and can cause respiratory depression. Monitoring respiratory rate is the priority.
C. Blood pressure: Hypotension may occur but is less urgent than respiratory depression.
D. Level of consciousness: Sedation is a possible effect, but respiratory rate takes precedence in monitoring.
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Related Questions
Correct Answer is B
Explanation
A. Heart rate: While important, it is not as directly impacted by codeine as respiratory rate.
B. Respiratory rate: Codeine is an opioid and can cause respiratory depression. Monitoring respiratory rate is the priority.
C. Blood pressure: Hypotension may occur but is less urgent than respiratory depression.
D. Level of consciousness: Sedation is a possible effect, but respiratory rate takes precedence in monitoring.
Correct Answer is D
Explanation
A. Administer naloxone: Naloxone is used for opioid overdoses, not acetaminophen.
B. Monitor amylase and lipase: This is not necessary for acetaminophen overdose.
C. Obtain a chest x-ray: This is unnecessary unless there is suspicion of aspiration or trauma.
D. Give acetylcysteine: Acetylcysteine is the antidote for acetaminophen overdose and helps prevent liver damage.
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