Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test 2026 – All-in-One Resource to Excel in Your Exam!

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When monitoring vital signs in a patient receiving opioids, which vital sign is critical to assess?

Temperature

Respiratory rate

Monitoring the respiratory rate is crucial for a patient receiving opioids due to the risk of respiratory depression, which is a serious and potentially life-threatening side effect of these medications. Opioids act on the central nervous system to relieve pain, but they can also decrease the respiratory drive, leading to inadequate ventilation and lower levels of oxygen in the blood.

In a clinical setting, nurses must closely observe the patient's respiratory rate to ensure it remains within normal limits. A decrease in respiratory rate can indicate that the patient is becoming increasingly sedated or is at risk for respiratory failure, necessitating prompt medical intervention.

While other vital signs such as temperature, body mass index, and pulse oximetry are important in general patient assessments, they do not directly reflect the immediate impact opioids have on respiratory function. Therefore, monitoring the respiratory rate is the most critical assessment in this scenario.

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Body mass index

Pulse oximetry

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