Author Question: To decrease the risk of injury to a client taking an opioid, which action would be most appropriate? ... (Read 29 times)

darbym82 · **on:** Jul 23, 2018

To decrease the risk of injury to a client taking an opioid, which action would be most appropriate? Select all that apply.

A) Keep the lights in the client's room turned down.
B) Assist the client from the bed to the toilet.
C) Assist the client with rising from a lying position.
D) Assist the client with hall-walking activities.
E) Advise the client to stay in bed all night.

Question 2

A nurse is assessing a client who is to receive an opioid analgesic. The nurse would contact the primary health care provider immediately if which of the following occur? Select all that apply.

A) Respiratory rate of less than 10 breaths/min
B) Decrease in pulse
C) Increase in pulse
D) Increase in blood pressure
E) Blood pressure of 90/65 mm Hg

ebenov · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: B, C, D
Feedback:
To decrease the risk of injury to a client taking an opioid, the nurse should assist the client with ambulatory activities and with rising from a sitting or lying position. The nurse should also keep the client's room well lit during daytime hours, keep the client's room free of clutter, and advise the client to seek assistance when getting out of bed at night.

Answer to Question 2

Ans: A, B, C, E
Feedback:
The nurse should contact the primary health care provider immediately if any of the following occur while a client is receiving an opioid analgesic: significant decrease in respiratory rate or a respiratory rate less than 10 breaths/min; significant increase or decrease in the pulse rate or a change in the pulse quality; or significant decrease in blood pressure or a systolic blood pressure below 100 mm Hg.