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(Actual Exam 2026-2027) Correct Detailed & Verified
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A nurse is monitoring a client who is receiving opioid analgesia for
adverse effects of the medication. Which of the following effects should
the nurse anticipate? (Select all that apply.)
a.Urinary incontinence
B.Diarrhea
C.Bradypnea
D.Orthostatic hypotension
e. nausea -ANSWERS-C, D, E
Rationale:
C.Opioid analgesia can cause respiratory depression, which causes
respiratory rates to drop to dangerously low levels. the nurse should
monitor the client's respiratory rate, and administer naloxone if
indicated.
D. Opioid analgesia can cause orthostatic hypotension. the nurse
should monitor the client for dizziness or lightheadedness when
changing positions.
,E. Opioid analgesia can cause nausea and vomiting. the nurse should
monitor for and treat these complications as needed.
A nurse is caring for a client who is receiving morphine via a
patient‑controlled analgesia (PCA) infusion device after abdominal
surgery. Which of the following statements indicates that the client
knows how to use the device?
A."i'll wait to use the device until it's absolutely necessary."
B."i'll be careful about pushing the button too much so idon't get an
overdose."
C."i should tell the nurse if the pain doesn't stop while i am using this
device."
D."i will ask my adult child to push the dose button when i am
sleeping." -ANSWERS-C
Rationale:
C. PCA allows the client to self‑administer pain medication on an
as‑needed basis. if the client is not achieving adequate pain control, he
should let the nurse know so that she can initiate a reevaluation of the
client's pain management plan and possible dosage change.
, A nurse is using an interpreter to communicate with a client. Which of
the following actions should the nurse use when communicating with a
client and his family? (Select all that apply.)
A. talk to the interpreter about the family while the family is in the
room.
B. ask the family one question at a time.
C. look at the interpreter when asking the family questions.
D. use lay terms if possible.
E. do not interrupt the interpreter and the family as they talk -
ANSWERS-B, D, E
Rationale:
B. Asking the family one question at a time will promote effective
communication between the family and the nurse/interpreter.
D.using lay terms will promote effective communication between the
family and the nurse/interpreter.
E.not interrupting will promote effective communication between the
family and the nurse/interpreter.
A nurse is caring for a client who shares the nurse's religious
background. Which of the following information should the nurse
anticipate