A practical nurse is preparing to administer a scheduled dose of an oral opioid analgesic to a postoperative client. Upon entering the room, the nurse observes that the client is difficult to arouse and has a respiratory rate of 8 breaths per minute. Which action should the nurse take?
- AAdminister the medication as prescribed to ensure the client's postoperative pain remains controlled.
- Withhold the medication and immediately notify the registered nurse.Answer
- CObtain an intravenous push opioid antagonist and administer it immediately to reverse the effects.
- DAdminister the medication after identifying the client using the room and bed number on the door.
Answer
Withhold the medication and immediately notify the registered nurse.
The client is exhibiting signs of severe respiratory depression, as evidenced by a respiratory rate of 8 breaths per minute and difficulty arousing. Opioid analgesics further depress the respiratory center. The safest and most appropriate action within the practical nurse's scope of practice is to withhold the medication and immediately escalate the critical finding to the registered nurse for further assessment.
Step-by-Step Solution
Key Concept
Opioid-induced respiratory depression and the practical nurse's scope of practice.
Estimated Time:45s