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 patient should stand 20 feet away from the Snellen chart to accurately measure visual acuity, which is the standard procedure.

B. The number beside the largest print is not the correct visual acuity score; the patient must read progressively smaller lines.
C. Testing with reading glasses is appropriate only for patients who need them for close-up vision, but the Snellen test typically measures distance vision.
D. The distance should be 20 feet, not 50 feet, to ensure proper testing conditions.

A. auscultate for bowel sounds once a shift. B. auscultate lung sounds at the beginning of a shift. C. monitor for skin turgor every shift. D. monitor peripheral pulses once a shift.

Correct Answer is B

Explanation

A. Auscultating for bowel sounds once a shift is important but does not directly relate to the respiratory condition.
B. Auscultating lung sounds at the beginning of a shift is a priority to assess for any signs of respiratory compromise or complications.
C. Monitoring skin turgor every shift is important for hydration status but is less critical in comparison to lung sounds for a patient with respiratory problems.
D. Monitoring peripheral pulses once a shift is important but does not address the respiratory condition directly.

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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

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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