A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?
Check the client's belongings for additional drugs.
Pad the side rails of the bed because seizures are likely.
Prepare a dose of ipecac, an emetic.
Monitor respiratory function.
The Correct Answer is D
D. Barbiturates can cause respiratory depression, hypoventilation, and potentially respiratory arrest, which can lead to hypoxia and cardiac arrest if not promptly recognized and managed.
A. While it's important to assess for any additional drugs or substances that the client may have ingested, this action is not the priority when managing a client with a barbiturate overdose.
B. Seizures can occur as a result of barbiturate overdose, but respiratory depression is the more immediate and life-threatening concern.
C. Ipecac is no longer recommended for the induction of vomiting in cases of drug overdose due to the risk of complications such as aspiration pneumonia and delayed treatment.
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Related Questions
Correct Answer is ["D","E"]
Explanation
A. In OCD, individuals typically experience intrusive thoughts, images, or urges (obsessions) that cause anxiety or distress, rather than a specific fear of certain objects. While individuals with OCD may engage in compulsive behaviors related to their obsessions.
B. Rule-conscious behavior refers to a strict adherence to rules or regulations. While individuals with OCD may exhibit perfectionist tendencies and a need for orderliness, rule-conscious behavior is not a defining characteristic of OCD.
C. Individuals with OCD may experience difficulty relaxing due to the persistent nature of their obsessions and compulsions. Obsessions can trigger anxiety or distress, making it challenging for individuals with OCD to relax or engage in leisure activities without intrusive thoughts interfering. However, difficulty relaxing is not specific to OCD and can occur in other anxiety disorders as well.
D. Perfectionism is a common feature of OCD. Individuals with OCD often have unrealistic standards for themselves and may engage in compulsive behaviors to achieve a sense of perfection or symmetry. They may feel compelled to repeat tasks until they are "just right" or perform rituals to prevent perceived harm or catastrophe.
E. In OCD, individuals are typically aware of their compulsive behaviors, although they may feel driven to perform them to alleviate anxiety or prevent perceived harm. Compulsions are repetitive behaviors or mental acts that individuals feel driven to perform in response to obsessions or according to rigid rules.
Correct Answer is B
Explanation
B. Anxiolytics are prescribed to reduce symptoms of anxiety, such as nervousness or restlessness, which can interfere with problem-solving and decision-making abilities. By alleviating anxiety symptoms, the medication can help the client focus more effectively on addressing underlying issues or stressors.
A. While anxiolytics can be effective in managing acute symptoms of anxiety, they are not typically intended for long-term use.
C. Many anxiolytic medications, particularly benzodiazepines, carry a risk of dependence and addiction if used improperly or for an extended period.
D. While anxiolytics can help alleviate symptoms of anxiety, they may not completely eliminate anxiety in all situations.
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