Difficulty: Medium
Average Score: 62%
Simulated
Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?
Correct answer
A
Rationale
Codeine, an opioid, causes drowsiness and dizziness, increasing fall risk. Instructing the client to request assistance when ambulating (A) is the highest priority for safety. Stool softeners (B) address constipation but are secondary. Notifying about unrelieved pain (C) and onset time (D) are important but not immediate safety concerns.