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 B

Explanation

A. Inject 0.3 to 0.5 mL of the solution: The typical volume for a tuberculin skin test is 0.1 mL.
B. Select an injection site that is free of scar tissue: Scar tissue can interfere with the reading of the tuberculin skin test, so a site free of scars should be selected.
C. Hold the needle at a 30° angle during injection: The needle should be held at a 5–15° angle for intradermal injections.
D. Massage the site following the injection: Massaging the site is not recommended as it could affect the accuracy of the test.

A. Headache B. Polyuria C. Ringing in the ears D. Increased blood pressure

Correct Answer is A

Explanation

A. Headache: Headaches are a common adverse effect of nitroglycerin due to vasodilation and increased blood flow to the brain.
B. Polyuria: Nitroglycerin does not affect urinary output.
C. Ringing in the ears: Tinnitus is not associated with nitroglycerin use.
D. Increased blood pressure: Nitroglycerin causes vasodilation, which typically lowers blood pressure rather than increasing it.

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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 planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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