A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?

Tachycardia

Sedation

Dilated pupils

Tachypnea

Answer and Explanation

The Correct Answer is B

A. Tachycardia: Bradycardia, rather than tachycardia, is more typical of opioid toxicity.
B. Sedation: Oxycodone toxicity causes CNS depression, resulting in sedation, respiratory depression, and pinpoint pupils.
C. Dilated pupils: Pinpoint pupils are a classic sign of opioid toxicity.
D. Tachypnea: Respiratory depression, rather than tachypnea, is expected in opioid toxicity.

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Correct Answer is C

Explanation

A. Offer the client a cold compress: While a cold compress might help with swelling or discomfort, it is more important to assess the client's pain level first to understand the cause of the grimacing.
B. Play music in the client's room as a distraction: This could help later, but pain needs to be addressed first.
C. Check the client's current level of pain: Grimacing could indicate pain, which should be evaluated and addressed first to provide comfort and prevent complications like increased stress or decreased respiratory effort.
D. Assist the client to reposition in bed: Repositioning could help alleviate discomfort, but pain should be assessed first to ensure the client is not in severe pain.

A. "Take the medication on an empty stomach." B. "Discontinue the medication if your saliva turns orange." C. "Return for another TB skin test in 3 months." D. "You will need to take this medication for 1 week."

Correct Answer is A

Explanation

A. "Take the medication on an empty stomach.": Rifampin is most effective when taken on an empty stomach to ensure better absorption.
B. "Discontinue the medication if your saliva turns orange.": This is a common side effect of rifampin, and the medication should not be discontinued due to this harmless effect.
C. "Return for another TB skin test in 3 months.": Follow-up skin tests are not necessary if the client is already undergoing treatment. The focus should be on medication adherence.
D. "You will need to take this medication for 1 week.": Rifampin is typically taken for several months (usually 6-9 months) to fully treat TB, not just for one week.

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A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had abdominal surgery. The client is grimacing and has a respiratory rate of 24/min. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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