Which of the following objective assessment data will the nurse ...

[penza]

Which of the following objective assessment data will the nurse obtain before administering a prescribed opioid medication to a client?
 
  1. Pain level as stated by client
  2. Any nausea the client may be feeling
  3. Respiratory rate
  4. Color of skin

Question 2

A client tells the nurse about having problems falling and staying asleep. What should the nurse ask the client to gain more information about this client problem?
 
  1. How often does this happen?
  2. How much coffee do you drink each day?
  3. How do you feel when you wake up in the morning?
  4. When do you eat your evening meal?
  5. What have you done to deal with this sleeping problem?

[dellikani2015]

Answer to Question 1

Correct Answer: 3
Rationale 1: This is subjective data.
Rationale 2: This is subjective data.
Rationale 3: Opioids may depress the respiratory system, so the nurse should assess the respiratory rate before administering opioids.
Rationale 4: This is not applicable to assess prior to administering an opioid medication to a client.

Answer to Question 2

Correct Answer: 1,3,5
Rationale 1: Questions appropriate for the nurse to ask during the assessment interview for a client with a sleep disturbance include How often does this happen?
Rationale 2: Asking the client the amount of caffeine ingested during the day might not be appropriate with the client who is experiencing a sleep disturbance.
Rationale 3: Questions appropriate for the nurse to ask during the assessment interview for a client with a sleep disturbance include How do you feel when you wake up in the morning?
Rationale 4: Asking when the client ingests the evening meal might not be appropriate with the client who is experiencing a sleep disturbance.
Rationale 5: Questions appropriate for the nurse to ask during the assessment interview for a client with a sleep disturbance include What have you done to deal with this sleeping problem?

[penza]

Excellent

[ryhom]

TYSM