A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication.
The nurse advises:

Choice A rationale

Administering a non-steroidal anti-inflammatory drug (NSAID) is not a priority action for a patient who has received a narcotic analgesic. The priority should be to ensure the patient’s safety and prevent falls, which can occur due to the sedative effects of narcotics.

Choice B rationale

Putting side rails up and placing the bed in the lowest position is essential for patient safety. Narcotics can cause dizziness, drowsiness, and impaired coordination, increasing the risk of falls. Ensuring the bed is in the lowest position and side rails are up helps prevent injury if the patient tries to get up.

Choice C rationale

Encouraging fluids is beneficial for many patients, but it is not the priority action when a patient has received a narcotic analgesic. Hydration is important but secondary to ensuring the patient’s immediate safety.

Choice D rationale

Creating a restful, dark environment may help the patient rest, but it does not directly address the immediate safety needs of a patient who has received a narcotic analgesic. The focus should be on preventing falls and injury.

Choice A rationale

While tinnitus can occur with certain medications, it is not a common adverse effect of lidocaine.

Choice B rationale

Dizziness is a common adverse effect of lidocaine and can indicate an issue with its administration.

Choice C rationale

Dysphagia is not a typical adverse effect of lidocaine administration.

Choice D rationale

Excessive bruising is not associated with lidocaine but rather with anticoagulants or trauma.