NCLEX-RN (Registered Nurse) Practice Exam · Question
A nurse is administering hydromorphone 1 mg IV push to a client with severe post-operative pain. After administering the medication, which assessment is the most important for the nurse to perform?
Hydromorphone is a potent opioid that can cause respiratory depression and sedation, especially when administered intravenously. Assessing the client's level of
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Question: A nurse is administering hydromorphone 1 mg IV push to a client with severe post-operative pain. After administering the medication, which assessment is the most important for the nurse to perform?
Answer options:
- Checking the client's pupil size. ✅ Assessing the client's level of consciousness and respiratory rate.
- Inquiring about the client's comfort level and pain score.
- Monitoring for signs of constipation.
Correct answer: Assessing the client's level of consciousness and respiratory rate.
Explanation: Hydromorphone is a potent opioid that can cause respiratory depression and sedation, especially when administered intravenously. Assessing the client's level of consciousness and respiratory rate is crucial to detect these adverse effects promptly and is the priority safety assessment after administration.
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