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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. A snug-fitting bra helps suppress lactation and provides support to relieve discomfort. It should be worn continuously, even while sleeping, for 72 hours.
B. Moist heat stimulates milk production and should be avoided. Instead, cold compresses can help reduce swelling.
C. Fluid restriction is not necessary and could lead to dehydration.
D. Manually expressing milk will encourage continued milk production rather than suppressing lactation.
Correct Answer is C
Explanation
A. Placing the client in Trendelenburg position is incorrect because this position does not reduce tension on the abdominal wound and may increase intra-abdominal pressure.
B. Reinserting the protruding intestinal tissue is incorrect because this can introduce infection and cause further damage.
C. This is the correct answer. The priority action is to cover the wound with a sterile, saline-moistened dressing to prevent tissue drying and reduce infection risk.
D. Monitoring vital signs is important, but the priority is to protect the exposed abdominal contents.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.