Hesi lpn exit proctored exam
The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the client's care?
Explanation & Rationale
A. Encourage the client to resume normal activities after medication administration: Activity should be limited until pain is controlled and healing is adequate. B. Implement ongoing assessments for signs of shallow or slow breathing: Hydrocodone/acetaminophen is an opioid combination; opioids can cause respiratory depression, requiring monitoring. C. Assess the skin daily for areas of ecchymosis or other signs of bleeding: This is not the primary concern for an opioid; bleeding risk is not significant unless the client is on anticoagulants. D. Observe the client for involuntary movements of the lips and tongue: This relates to tardive dyskinesia, associated with antipsychotics, not opioids.
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