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

Answer and Explanation

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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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

Rationale:

The client’s blood pressure of 80/46 mm Hg indicates hypotension, likely due to dehydration from persistent diarrhea. This is the most critical finding, as it can lead to organ hypoperfusion and shock if not addressed immediately. After stabilizing the client’s blood pressure, the nurse should address the client’s low potassium level (3.1 mEq/L), as hypokalemia can cause serious complications, including cardiac arrhythmias.

A. Tremors B. Anorexia C. Drowsiness D. Hypotension

Correct Answer is A

Explanation

A. Tremors: Benzodiazepine withdrawal commonly presents with tremors, anxiety, agitation, insomnia, and in severe cases, seizures.
B. Anorexia: While appetite changes may occur during withdrawal, it is not the primary manifestation.
C. Drowsiness: Drowsiness is more commonly associated with the sedative effects of diazepam rather than its withdrawal.
D. Hypotension: Withdrawal from diazepam is more likely to cause hypertension and tachycardia due to autonomic hyperactivity.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a female client. Exhibits Complete the following sentence by using the lists of options. The nurse should first address the client' dropdownfollowed by the client’sdropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?

Correct Answer is A

Explanation

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