Question

The nurse administers an opioid analgesic to a client experiencing acute pain. Which assessment finding requires priority intervention from the nurse?

1) Pupil dilation
2) Constipation
3) Tachycardia
4) Respiratory depression

Answer 1

The nurse should prioritize intervention if the assessment finding of respiratory depression is observed in a client receiving an opioid analgesic.

Step-by-step explanation:

The assessment finding that requires priority intervention from the nurse when administering an opioid analgesic to a client experiencing acute pain is respiratory depression.

Opioid analgesics can cause respiratory depression, which is a serious side effect that can lead to respiratory arrest and even death. Therefore, it is crucial for the nurse to monitor the client's respiratory rate, depth, and oxygen saturation regularly.

If the nurse observes signs of respiratory depression, such as slow or shallow breathing, the nurse should intervene promptly by administering naloxone, an opioid antagonist that can reverse the effects of respiratory depression.