A nurse is administering naloxone to a client who has developed an adverse reaction to morphine.
The nurse should identify which of the following findings is a therapeutic effect of naloxone?
Decreased blood pressure.
Decreased nausea.
Increased respiratory rate.
Increased pain relief.
The Correct Answer is C
A therapeutic effect of naloxone is the reversal of opioid-induced respiratory depression, which is one of the most dangerous complications of opioid overdose. Naloxone works by binding to opioid receptors, displacing opioids, and restoring normal respiratory drive. An increase in respiratory rate after administration indicates that naloxone is effective.
Choice A is wrong because decreased blood pressure is not a therapeutic effect of naloxone.
In fact, naloxone can cause hypertension (high blood pressure) as a side effect due to opioid withdrawal.
Choice B is wrong because decreased nausea is not a therapeutic effect of naloxone. Nausea is a common side effect of morphine, but naloxone does not affect it directly.
Naloxone can actually cause nausea and vomiting as a side effect due to opioid withdrawal.
Choice D is wrong because increased pain relief is not a therapeutic effect of naloxone.
Pain relief is a desired effect of morphine, but naloxone antagonizes it by blocking the opioid receptors.
Naloxone can cause pain and discomfort as a side effect due to opioid withdrawal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct sequence for mixing regular insulin and NPH insulin in the same syringe is important to ensure proper dosing. The nurse should follow these steps:
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Inject air into the NPH (intermediate-acting) insulin vial: Injecting air into the NPH vial first helps to equalize the pressure in the vial, making it easier to withdraw the insulin later. This step is done first to avoid contaminating the regular insulin vial with NPH insulin.
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Inject air into the regular insulin vial: Next, inject an amount of air equal to the intended regular insulin dose into the regular insulin vial.This also helps to equalize the pressure and makes it easier to withdraw the insulin.
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Withdraw the regular insulin from the vial: The nurse should withdraw the regular insulin first because it is clear and not contaminated. This prevents any NPH insulin from mixing into the regular insulin vial.
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Withdraw the regular insulin from the vial: Finally, the nurse withdraws the NPH insulin. Since the regular insulin has already been drawn up, there is no risk of contaminating the regular insulin with NPH insulin.
This sequence ensures that you don't contaminate the vials, and you accurately withdraw the appropriate doses of each insulin type.
Correct Answer is C
Explanation
Medication reconciliation is the process of creating the most accurate list possible of all medications a client is taking and comparing that list against the physician’s orders at every transition of care. A client who is transferred to a step-down unit is at risk of medication errors due to changes in the level of care and the prescribing providers. Therefore, medication reconciliation should be performed for this client to prevent adverse drug events.
Choice A is wrong because a referral for social services does not involve a change in the client’s medications or care setting.
Choice B is wrong because transport to radiology is a temporary and short-term movement that does not require medication reconciliation.
Choice D is wrong because a consultation for physical therapy does not affect the client’s medication regimen or orders.
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