A nurse is assessing a client who has opioid toxicity. Which of the following findings should the nurse expect?

Heart rate 112/min

Blood pressure 168/90 mm Hg

Respiratory rate 10/min

Temperature 38.2°C (100.8°F)

Answer and Explanation

The Correct Answer is C

Opioid toxicity can cause difficulties with breathing and an opioid overdose can lead to death1. A respiratory rate of 10/min is considered low and could be a sign of opioid toxicity.

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Correct Answer is D

Explanation

The nurse should plan to use warm water to wash the client’s feet as part of proper foot care. Warm water can help soften the skin and nails, making it easier to clean and trim the nails. It is also important to avoid soaking the feet, as this can dry out the skin and increase the risk of infection.

A. Dry hands with a reusable towel B. Rub hand sanitizer around rings on fingers C. Rub hands together for 20 seconds D. Use hot water to rinse hand sanitizer oﬀ

Correct Answer is C

Explanation

When using an alcohol-based hand sanitizer, the nurse should apply the product to the palm of one hand and rub hands together, covering all surfaces of hands and fingers until hands are dry.

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A nurse is assessing a client who has opioid toxicity. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is preparing to perform hand hygiene with an alcohol-based hand sanitizer. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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