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.

Answer and Explanation

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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Correct Answer is B

Explanation

B. PPD requires timely intervention, and antidepressant medications can be effective in managing symptoms. Anticipating a prescription allows the nurse to prepare for the next steps in the client’s care.

A. While assessing for suicidal or harmful thoughts is essential, it is not the priority in this situation. The client’s symptoms (feeling “down,” sadness, lack of energy, and wanting to cry) are indicative of postpartum depression (PPD), and addressing her emotional well-being is the immediate concern.

C. While coping skills are important, focusing on the family’s coping mechanisms is not the priority at this moment. The client’s individual needs related to PPD take precedence.

D. Although postpartum and newborn care education is essential, it is not the priority when the client is experiencing symptoms of depression. Addressing the client’s emotional state and ensuring appropriate treatment are more urgent.

A. "Take this medication with food." B. "Do not crush this medication before swallowing." C. "Avoid grapefruit juice while taking this medication." D. "Do not use mouthwash while taking this medication."

Correct Answer is D

Explanation

D. Mouthwash and other products containing alcohol should be avoided while taking disulfiram. Even small amounts of alcohol (such as those found in mouthwash) can lead to adverse reactions when combined with disulfiram.

A. Disulfiram should be taken on an empty stomach, preferably in the morning, to enhance absorption and efficacy. Taking it with food may decrease absorption and reduce its effectiveness in deterring alcohol consumption.

B. Disulfiram tablets should be swallowed whole and not crushed or broken. Crushing the tablets can alter their release mechanism and affect their intended action. However, avoidance of alcohol based substances is more important.

C. Grapefruit juice can interact with certain medications by inhibiting cytochrome P450 enzymes in the liver, affecting drug metabolism. However, there is no specific interaction between grapefruit juice and disulfiram.

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A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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