Practice Quiz

NCLEX-PN

Category - Pharmacological Therapies

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A nurse is caring for a client who appears irritable and is grimacing. On assessment, the client has a blood pressure of 140/90, a respiratory rate of 21 breaths per minute, and a heart rate of 95 beats per minute. Demerol is administered, as ordered. After 30 minutes, which of the following findings best indicates that the client is responding well to the medication?
  1. The client is resting calmly
  2. Blood pressure = 135/80
  3. Heart rate = 85 beats/minute
  4. Respiratory rate = 16 breaths/minute
Explanation
Answer: A -The best indicator that the client has responded well to the medication is the resolution of irritability and facial grimacing. The blood pressure has not decreased significant enough to associate with pain relief. The other options are not strong indicators of pain relief.
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