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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Encouraging client input in the treatment plan is important for promoting client autonomy and engagement in their care. However, while it is a valuable intervention, it may not address the immediate needs or safety concerns of the client with histrionic personality disorder.
B.Clients with HPD may interpret vague or ambiguous communication in exaggerated ways. Concrete language helps prevent misunderstandings and maintains a therapeutic relationship. However, this is not the prority.
C. While assertiveness is valuable, it is not the primary focus at this stage.
D. Managing the clients behavior within the group is the priority intervention for the client who has histrionic personality disorder because these clients display extreme attention seeking behaviors and are often impulsive.
Correct Answer is D
Explanation
D. The constant repetitive cleaning behavior observed in the client with OCD is likely an attempt to decrease anxiety associated with obsessive thoughts or fears of contamination.
A. While individuals with OCD may engage in compulsive behaviors to gain a sense of control over their environment, the primary motivation behind these behaviors is not to manipulate others.
B. While engaging in repetitive cleaning behaviors may occupy the client's time and attention, the primary purpose of these behaviors is not necessarily to decrease the time available for interaction with people.
C. While individuals with OCD may experience distress or anxiety related to their obsessions and may engage in compulsive behaviors to reduce these feelings, the goal is typically to alleviate anxiety
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