A patient reports severe incisional pain despite receiving the prescribed opioid. The respiratory rate is 8 per minute and the patient is difficult to arouse. What should the nurse do first?
Correct answer: B. Withhold the opioid and assess airway and breathing
- A. Administer another dose for the severe pain
- B. Withhold the opioid and assess airway and breathing
- C. Ask the patient to walk to improve alertness
- D. Place a heating pad over the incision
Explanation
A respiratory rate of 8 and reduced consciousness suggest opioid-induced respiratory depression, so airway and breathing take priority. The opioid is withheld, urgent assistance is obtained, and naloxone may be prepared according to the prescription or protocol.
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About Perioperative Nursing
Covers preoperative assessment, informed consent, surgical preparation, anaesthesia, intraoperative safety and postoperative recovery. It includes sterile technique, surgical positioning, wound and drain care, pain and nausea management, fluid balance, prevention of infection and recognition of complications such as haemorrhage, atelectasis and shock.
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