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. This behavior may be concerning if it indicates a lack of autonomy or control over one's own communication. It could suggest overprotective or controlling behavior by the parents, which may be indicative of emotional abuse or neglect.

A. Frequent use of the call light may indicate a need for assistance or discomfort but does not necessarily indicate abuse. It could be related to the child's medical condition, anxiety, or other factors.

C. Childhood obesity itself is not necessarily indicative of abuse. It can result from a variety of factors, including genetics, dietary habits, and lifestyle factors.

D. Frequent visitors alone do not necessarily indicate abuse. However, it's important to consider the nature of the visitors' relationship with the child and whether they may pose a risk of harm.

A. Symptom Positive Negative B. Disordered thinking C. Flat affect D. Trouble concentrating E. Lack of initiative F. Social withdrawal

Correct Answer is ["B"]

Explanation

A. Disordered thinking, also known as formal thought disorder, involves disturbances in the thought process, such as loosening of associations, thought blocking, or tangentiality. These disturbances result in fragmented or illogical thinking patterns.
B. Flat affect refers to a reduction or absence of emotional expression. Individuals with flat affect may appear emotionally dull or unresponsive, showing little variation in facial expressions or vocal tone.
D. Apathy refers to a lack of motivation, interest, or enthusiasm in engaging with one's environment or pursuing goals. Individuals with schizophrenia may experience extreme apathy, which can contribute to social withdrawal and functional impairment.
E. Lack of initiative, also known as avolition, refers to a reduction or absence of goal-directed behavior or motivation to engage in purposeful activities. Individuals with schizophrenia may have difficulty initiating and sustaining activities of daily living or pursuing personal interests.
F. Social withdrawal involves the avoidance or reduction of social interactions and activities. It may result from factors such as social anxiety, apathy, or disinterest in socializing due to psychotic symptoms or negative symptoms of schizophrenia.
C. Trouble concentrating is not typically considered a primary symptom of schizophrenia. While difficulties with concentration or attention may occur, they are more often associated with cognitive impairments rather than positive or negative symptoms.

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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

A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

Correct Answer is B

Explanation

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Correct Answer is ["B"]

Explanation

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