A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications?

Methadone

Meperidine

Hydromorphone

Fentanyl

Answer and Explanation

The Correct Answer is A

A.   Correct. Methadone is commonly used to manage opioid withdrawal symptoms in newborns due to its long half-life and ability to stabilize opioid receptors, thereby reducing withdrawal symptoms.
B.   Incorrect. Meperidine is not typically used for opioid withdrawal in newborns and is associated with a higher risk of toxicity and withdrawal symptoms.
C.   Incorrect. Hydromorphone is not typically used for opioid withdrawal in newborns and may not be suitable due to its potency and potential side effects.
D.   Incorrect. Fentanyl is not typically used for opioid withdrawal in newborns and is more commonly used for pain management in the perioperative or critical care settings.

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Correct Answer is D

Explanation

A client who has a head injury and whose pupils are fixed and dilated: This client likely has a severe head injury with signs of increased intracranial pressure, which requires urgent intervention. However, airway and breathing take precedence over neurological status in triage. B. A client who has a dislocated shoulder and reports a pain level of 8 on a scale from 0 to 10: While this client is in pain, dislocated shoulder is not immediately life-threatening in the context of a mass casualty situation.
C. A client who has a 20.3-cm (8-in) scalp laceration with intermittent bleeding: Although this client has a significant laceration, it is not immediately life-threatening compared to compromised breathing.
D. A client who has diminished breath sounds and paradoxical chest movement: This client is likely experiencing a tension pneumothorax, a life-threatening condition that requires immediate intervention to decompress the chest and restore normal breathing.

A. Depersonalization B. Hallucination C. Illusion D. Derealization

Correct Answer is B

Explanation

A. Depersonalization is a feeling of detachment from oneself or feeling like one's thoughts, feelings, and actions are not their own. It does not involve perceptual disturbances such as hearing voices.
B. Hallucination is a sensory perception that occurs in the absence of external stimuli. Auditory hallucinations involve hearing voices or sounds that others do not hear, as described by the client in this scenario.
C. Illusion is a misinterpretation of a sensory stimulus that is actually present in the environment. It involves a distortion or misperception of sensory information, not the perception of something that is not there, as in the case of hallucinations.
D. Derealization is a feeling of unreality or detachment from one's surroundings. It involves a distortion in the perception of the external world rather than sensory experiences such as hearing voices.

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A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with triaging clients in a mass casualty situation. The nurse should recommend that which of the following clients receive care first?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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