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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?

A.

temperature

B.

pulse

C.

blood pressure

D.

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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Related Questions

Correct Answer is B

Explanation

A. Bradycardia is defined as a heart rate lower than 60 beats per minute. Therefore, 62 beats per minute is not bradycardic.
B. 59 beats per minute would be considered bradycardic, as it is below 60.
C. 64 beats per minute is within normal limits.
D. 60 beats per minute is on the threshold of bradycardia but typically is still within normal limits for some individuals.

Correct Answer is A

Explanation

A. The normal response to light in the eye is pupil constriction. This indicates that the optic and oculomotor nerves are functioning properly.
B. While a sluggish reaction can occur in some individuals, a noticeable sluggish response could indicate neurological issues, especially in a head injury.
C. Pupils should constrict in response to light, not dilate, unless there is a significant neurological impairment.
D. Pupil checks should ideally be performed in dim lighting for better visibility of pupillary reactions, not with the room lights on.

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