A nurse is preparing to administer an opioid agonist to a client who has acute pain. For which of the following manifestations should the nurse monitor as an adverse effect of this medication?

Irritating cough

Tachypnea

Hypertension

Urinary retention

Answer and Explanation

The Correct Answer is D

A. Irritating cough. Opioid agonists do not typically cause an irritating cough. In fact, opioids like codeine are used as antitussives to suppress cough reflexes.
B. Tachypnea. Opioids depress the central nervous system, leading to respiratory depression rather than an increased respiratory rate (tachypnea). The nurse should monitor for bradypnea instead.
C. Hypertension. Opioids commonly cause hypotension due to vasodilation and central nervous system depression. Hypertension is not a typical adverse effect.
D. Urinary retention. Opioids can increase sphincter tone and suppress the urge to void, leading to urinary retention. This is a known side effect and should be monitored, especially in older adults or those with underlying bladder issues.

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Correct Answer is ["39.2"]

Explanation

Calculation:

The formula to convert Fahrenheit (°F) to Celsius (°C) is:

°C = (°F - 32) × 5/9

= (102.5 - 32) × 5/9

= (70.5) × 5/9

= 39.1666...

Rounding to the nearest tenth: 39.2 °C.

Therefore, 102.5 °F is equal to 39.2 °C.

A. Ask the patient to rate the pain on a 0-to-10 scale. B. Call the physician or health care provider immediately. C. Check the patency of the patient's intravenous line. D. Speak to the patient in a calming tone to reduce anxiety.

Correct Answer is A

Explanation

A. Ask the patient to rate the pain on a 0-to-10 scale. Pain is subjective, and the first step in pain management is assessment. Asking the patient to rate their pain helps determine the severity and whether adjustments to pain management are needed.
B. Call the physician or health care provider immediately. Contacting the provider may be necessary if the pain is uncontrolled, but the nurse must assess the pain level first before deciding if intervention is needed.
C. Check the patency of the patient's intravenous line. While an IV line is essential for PCA function, the priority is assessing the patient’s pain level before troubleshooting the equipment.
D. Speak to the patient in a calming tone to reduce anxiety. Although a calm demeanor is beneficial, it does not address the patient’s pain directly. Pain assessment is the first priority.

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A nurse is preparing to administer an opioid agonist to a client who has acute pain. For which of the following manifestations should the nurse monitor as an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Covert 102.5 Fahrenheit to C (round to tenths)

Correct Answer is ["39.2"]

Explanation

A patient has a morphine sulfate patient-controlled analgesia (PCA) to control postoperative pain. When the nurse enters the room, the patient complains of pain. The nurse's first response is which of the following?

Correct Answer is A

Explanation

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