A patient receiving morphine after open reduction and internal fixation is difficult to rouse and has a respiratory rate of 8 per minute. Which action should the nurse take first?
Correct answer: C. Assess the airway and support breathing
- A. Offer oral fluids to improve alertness
- B. Place the patient flat and leave the room
- C. Assess the airway and support breathing
- D. Give the next prescribed analgesic dose
Explanation
Airway and breathing take priority because respiratory depression is a potentially life-threatening opioid effect. The nurse should stimulate the patient, assess ventilation, provide oxygen or support as indicated, and notify the provider for further treatment.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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