A nurse is collecting data from a client who has taken an overdose of oxycodone.
Which of the following findings should the nurse expect?
Dilated pupils.
Tachypnea.
Tachycardia.
Sedation.
The Correct Answer is D
Choice A rationale:
Oxycodone overdose typically results in constricted (not dilated) pupils due to its action on the central nervous system.
Choice B rationale:
Oxycodone overdose can cause respiratory depression, leading to slow and shallow breathing (bradypnea), not rapid breathing (tachypnea)
Choice C rationale:
Oxycodone does not typically cause tachycardia. It can cause bradycardia due to its action on the central nervous system.
Choice D rationale:
Sedation is a common effect of oxycodone and can be more pronounced in cases of overdose due to the drug’s depressant effect on the central nervous system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Checking blood pressure with the client standing could exacerbate the client’s symptoms due to orthostatic hypotension, which is a common side effect of captopril.
Choice B rationale:
Administering a 0.9% sodium chloride IV bolus could be considered if the client’s blood pressure does not improve with positioning changes or if the client’s condition worsens.
Choice C rationale:
Placing the client in a supine position can help increase blood flow to the brain and alleviate symptoms of low blood pressure. This should be the first action taken by the nurse.
Choice D rationale:
Measuring blood pressure with the client sitting could also exacerbate symptoms due to orthostatic hypotension. It would be more appropriate after the client’s condition has stabilized.
Correct Answer is A
Explanation
Choice A rationale:
Hoarseness of voice can be a symptom of an allergic reaction, indicating swelling and inflammation in the throat. If the client’s voice is no longer hoarse after taking diphenhydramine, it suggests that the medication has been effective in reducing this symptom.
Choice B rationale:
Diphenhydramine is an antihistamine and can often cause drowsiness as a side effect. Therefore, feeling more alert would not typically indicate that the medication has been effective.
Choice C rationale:
While headaches can sometimes be associated with allergic reactions, they are not a primary symptom that diphenhydramine targets. Therefore, absence of a headache does not necessarily indicate effectiveness of the medication.
Choice D rationale:
Increased appetite is not typically associated with the effectiveness of diphenhydramine in treating allergic reactions.
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