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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dyspnea: Dyspnea is more indicative of fluid overload or an anaphylactic reaction.
B. Urticaria: Urticaria is a hallmark of an allergic reaction to transfused plasma proteins.
C. Chills: A febrile nonhemolytic reaction, the most common transfusion reaction, is characterized by chills, fever, and sometimes mild dyspnea or headache.
D. Vomiting: Vomiting is not a typical manifestation of a febrile nonhemolytic reaction.
Correct Answer is A
Explanation
A. "Take the medication on an empty stomach.": Rifampin is most effective when taken on an empty stomach to ensure better absorption.
B. "Discontinue the medication if your saliva turns orange.": This is a common side effect of rifampin, and the medication should not be discontinued due to this harmless effect.
C. "Return for another TB skin test in 3 months.": Follow-up skin tests are not necessary if the client is already undergoing treatment. The focus should be on medication adherence.
D. "You will need to take this medication for 1 week.": Rifampin is typically taken for several months (usually 6-9 months) to fully treat TB, not just for one week.
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