Difficulty: Medium
Average Score: 76%
Simulated
The nurse observes that a client has become lethargic 30 minutes after receiving an opioid injection for pain. Which vital sign should the nurse obtain first? Which vital sign should the nurse obtain first?
Correct answer
B
Rationale
Opioids can cause respiratory depression, a life-threatening side effect. Assessing respiratory rate first ensures the clientÔÇÖs airway and breathing are adequate.