A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

temperature

pulse

blood pressure

respirations

Answer and Explanation

The Correct Answer is D

A.   Temperature monitoring is important but not a top priority when a patient is receiving opiates unless there is suspicion of infection.
B.   Pulse monitoring is also important but does not immediately indicate issues with opiate use.
C.   Blood pressure is influenced by opiate use, but the primary concern is respiratory function due to the risk of respiratory depression.
D.   Respirations should be closely monitored because opiates can significantly depress the respiratory system, leading to hypoventilation or respiratory arrest, which is the most critical risk.

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Correct Answer is A

Explanation

A. The newborn’s head is a major source of heat loss due to the large surface area and insufficient
insulation. Covering the head helps maintain body temperature.
B. While the head can be reshaped, the primary reason for covering it is to prevent heat loss, not reshaping.
C. The head is not necessarily wet and doesn't require drying in all cases, making this less relevant.
D. Although the head has large fontanels, this is not the reason it is covered with a cap; preventing heat loss is the priority.

A. increase in temperature. B. decrease in pulse. C. decrease in blood pressure. D. decrease in respirations.

Correct Answer is C

Explanation

A. Temperature often decreases in cases of severe blood loss due to shock and hypothermia.
B. A decrease in pulse is unlikely in severe blood loss. The body compensates with an increased heart rate.
C. A decrease in blood pressure is expected in cases of significant blood loss, as the body struggles to maintain adequate circulation.
D. Respirations may increase in response to blood loss, not decrease, as the body attempts to increase oxygen intake.

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A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse covers a newborn baby's head with a cap. because the head:

Correct Answer is A

Explanation

When caring for a victim with a gunshot wound to the abdomen who has lost a significant amount of blood, the nurse would anticipate the vital signs to reflect:

Correct Answer is C

Explanation

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The nurse taking an apical pulse would place the stethoscope at:

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A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

The nurse taking a blood pressure should:

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