Client is showing withdrawal symptoms from the morphine

Client developed a tolerance for morphine

Client is showing signs of addiction to morphine

Client is undermedicated on the oral morphine

Teach the client when they have the urge to void, delay it for 10 minutes with the goal to go 2.5-3 hour between voids

Teach the client to void on a regular pattern every 2 to 3 hours instead of waiting until they need to void

Advise the client to reduce alcohol intake, acidic food and fluids

Instruct the client to void, wait 10 minutes and then attempt to void again

Redness, veins appear inflamed, warm to touch, pain

Edema around site, tight skin, cool to touch, burning sensation

Blanching of skin, cool to touch, blistering, tissue sloughing

Pus-filled drainage, redness, pain, and fever

Assess the client's orientation

Assess the respiratory status

Pause the feeds

Raise the head of the bed

Obtain a 12-lead ECG

Administer oxygen

Administer nitroglycerin

The client's Glasgow Coma Scale (GCS) score

The client's blood pressure, heart rate, and oxygen saturation levels

The client's baseline orientation to person, place, and time

The client's mini-mental score

The health care provider determines the client should discontinue analgesic therapy due to a family member's concern of addiction

The nurse adheres to a standardized care plan for mobilizing the client after surgery

The nurse connects the client's daughter with the health care provider via telephone during rounds

The nurse allows the physiotherapist to ambulate the client without providing a report of the client's morning

"Smoking can cause your disease to progress further"

"Would you consider trying to reduce the number of cigarettes you smoke daily?"

"If you do not stop smoking you will die"

"Do you feel like your life is not worth living?"

Provide an age-appropriate explanation to the child

Obtain information from the parent about the child's coping styles

Apply restraints to the child to help insert the needle

Explain the procedure to the parent and enlist their support

Ensure the health care provider repeats the order back three times over the phone

Ensure the telephone order is signed by the health care provider in the chart within 24 hours

Ensure the abbreviation VO is used when writing down the health care provider's order

Ask another nurse to sign the order after it is written down in the client's chart