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 B
Explanation
This is because TPN solutions are concentrated and can cause thrombosis of peripheral veins, so a central venous catheter is usually required. TPN should only be used when the intestine is unavailable or unable to absorb nutrients.
Choice A is wrong because a midline catheter is a type of peripheral catheter that can only be used for solutions with low or moderate osmolarity, not for TPN.
Choice C is wrong because subcutaneous administration is not a route for delivering TPN, which requires intravenous infusion.
Choice D is wrong because intraosseous administration is an emergency route for delivering fluids and drugs when intravenous access is not available, not for TPN.
Correct Answer is B
Explanation
According to the CDC, people with severe, life-threatening allergies to any ingredient in a flu vaccine (other than egg proteins) should not get that vaccine. However, people with egg allergy can get a flu vaccine. The CDC also states that people who have had a severe allergic reaction to a dose of influenza vaccine should not get that flu vaccine again and might not be able to receive other influenza vaccines. Therefore, a nurse should report an egg allergy to the provider as a possible contraindication to receiving the vaccine.
Choice A is wrong because shellfish is not an ingredient in a flu vaccine and is not a contraindication to receiving the vaccine.
Choice C is wrong because milk is not an ingredient in a flu vaccine and is not a contraindication to receiving the vaccine.
Choice D is wrong because peanuts are not an ingredient in a flu vaccine and are not a contraindication to receiving the vaccine.
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