A nurse is caring for a client who has had a sedative overdose. What is the priority action in caring for this client?

Identify the type of sedative.

Insert a large-bore IV catheter.

Ensure an adequate airway.

Prepare the appropriate antagonist.

Answer and Explanation

The Correct Answer is C

A: Identifying the type of sedative is important for treatment but is not the immediate priority.

B: Inserting a large-bore IV catheter is necessary for administering medications and fluids but is not the first priority.

C: Ensuring an adequate airway is the priority action. Maintaining airway patency is crucial to prevent respiratory complications and ensure the client receives adequate oxygen.

D: Preparing the appropriate antagonist is important but should follow the immediate action of ensuring an adequate airway.

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Correct Answer is A

Explanation

A: The passage of flatus is a clear indication that intestinal function is returning. It shows that the gastrointestinal tract is beginning to move gas through the intestines, which is a positive sign of recovery after abdominal surgery.

B: A request for a cup of tea and some toast indicates that the client is feeling better and has an appetite, but it does not specifically indicate the return of intestinal function.

C: Hypoactive bowel sounds in two quadrants suggest reduced intestinal activity, which is not a sign of returning intestinal function. Normal bowel sounds should be present in all quadrants.

D: Abdominal distention can indicate a buildup of gas or fluid in the intestines, which is not a sign of returning intestinal function. It may suggest an obstruction or other complications.

A. Platelets B. Neutrophils C. Hemoglobin D. Lymphocytes

Correct Answer is C

Explanation

A: Platelets are involved in blood clotting and do not transport oxygen.

B: Neutrophils are a type of white blood cell involved in the immune response and do not transport oxygen.

C: Hemoglobin is the protein in red blood cells that binds to oxygen and transports it from the lungs to the tissues throughout the body. It is essential for oxygen delivery to cells.

D: Lymphocytes are a type of white blood cell involved in the immune response and do not transport oxygen.

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A nurse is caring for a client who has had a sedative overdose. What is the priority action in caring for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that intestinal function is returning?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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