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Practice Question

The nurse places an opioid patch on the chest of a client with intractable pain who also has obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client?

Answer Choices:

Correct Answer:

Apply the client's positive airway pressure device.

Rationale:

🔶Clients with obstructive sleep apnea (OSA) are at significant risk of respiratory depression when receiving opioid analgesics due to compromised airway patency during sleep.

🔶Applying the positive airway pressure (PAP) device helps maintain a patent airway by delivering constant airflow, thus preventing airway collapse.

🔶The immediate use of this device is crucial after administering an opioid because it mitigates the risk of hypoventilation, apnea episodes, and hypoxia.

🔶Ensuring respiratory support with PAP before leaving the client is a critical safety measure that aligns with evidence-based care for patients with OSA receiving sedation or analgesia.

Want to practice more questions like this?

This question is from RN HESI Exit~2023 Exam 1 which contains 114 questions.

More Questions from This Exam
Which is the primary goal when planning nursing care for a client with degenerative joint disease (DJD)?

Answer Choices:

A. Improve stress management skills.
B. Achieve satisfactory pain control.
C. Reduce risk for infection.
D. Obtain adequate rest and sleep.
The health care provider prescribes a placebo instead of pain medication. Which intervention should the nurse implement?

Answer Choices:

A. Administer the placebo as prescribed when the client reports pain.
B. Tell the charge nurse about the prescribed placebo and refuse to administer it.
C. Inform the client that the provider prescribed a placebo instead of pain medication.
D. Discuss ethical concerns about placebo use with the healthcare provider.
An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?

Answer Choices:

A. Provide protective undergarments for the client.
B. Encourage increased fluid intake for 24 hours.
C. Evaluate the client's response to bladder training efforts.
D. Obtain a clean, voided urine specimen for analysis.
A client diagnosed with pancreatitis is reporting severe epigastric pain and intense nausea.After the nurse administers a narcotic analgesic and an antiemetic, the client insists on sitting up and leaning forward. Which action should the nurse implement?

Answer Choices:

A. Reinforce bed rest until analgesic is effective.
B. Place bed in reverse Trendelenburg position.
C. Raise head of bed until at a 90-degree angle.
D. Position bedside table for client to lean across.
From Exam
RN HESI Exit~2023 Exam 1

114 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI-Exit Exam(s)
  • Domain: HESI Exit Exam(s)~2023
  • Answer Choices: 4
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