ATI Fundamental Exams | Nurselytic

Questions 85

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Question 1 of 5

A nurse is assessing a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?

Correct Answer: D

Rationale: The correct answer is D: Level of sedation. Monitoring sedation is crucial when a client receives an opioid narcotic due to the risk of respiratory depression. Assessing the level of sedation helps to ensure the client is not overly sedated, which could lead to respiratory compromise. This assessment guides the nurse in determining the need for interventions such as stimulating the client or administering a reversal agent.

A: Pain level is important but not the priority in this scenario as respiratory status takes precedence.
B: Pulse oximetry is important for assessing oxygenation but may not directly indicate respiratory depression from sedation.
C: Blood pressure is relevant but not as critical as monitoring sedation for respiratory depression.
Summary: Monitoring the client's level of sedation is the priority to detect and prevent respiratory depression when opioid narcotics are administered.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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