A nurse is preparing to administer naloxone IV bolus to a client who has opioid use disorder and has developed acute opioid toxicity. Which of the following actions should the nurse take?
Check the client's vital signs every 15 min.
Give the naloxone slowly for 15 seconds.
Expect the onset of naloxone to occur in 15 min.
Anticipate the effects of naloxone to last for 24 hr.
The Correct Answer is A
A. Vital signs should be monitored every 15 minutes because naloxone has a short duration and the client may experience opioid re-sedation as the antagonist wears off.
B. Naloxone should be administered over 2 minutes, not 15 seconds, to reduce abrupt opioid withdrawal symptoms.
C. Naloxone has a rapid onset (1-2 minutes IV, 2-5 minutes IM).
D. The effects of naloxone last only 30-90 minutes, requiring repeated doses if opioids are still in the system.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fried chicken – High-fat foods like fried chicken relax the lower esophageal sphincter (LES), worsening GERD symptoms.
B. Tomato soup – Acidic foods like tomatoes can irritate the esophagus and should be avoided.
C. Hot cocoa – Chocolate and caffeine-containing drinks relax the LES and increase acid production, worsening GERD.
D. Bran cereal – This is a good choice because high-fiber foods promote digestion and help reduce acid reflux.
Correct Answer is A
Explanation
A. Respite care – This is the correct answer. Respite care provides temporary relief to caregivers by offering short-term professional care for the client, allowing the caregiver to rest and prevent burnout.
B. Skilled nursing facility – A skilled nursing facility is for long-term or intensive medical care needs, not temporary relief for a caregiver.
C. Rehabilitation services – Rehabilitation focuses on the client’s recovery, not the caregiver’s need for rest.
D. Assisted living – Assisted living is for clients needing ongoing assistance with daily activities, not temporary relief for a caregiver.
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