A nurse is teaching a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching?

A. Increased respiratory rate: Naloxone is an opioid antagonist that rapidly reverses the effects of opioid overdose, including respiratory depression, sedation, and hypotension. The primary goal of naloxone administration is to restore adequate breathing by increasing the respiratory rate.

B. Decreased pain level:Naloxone reverses opioid effects, which means it can bring back pain that was previously managed by morphine. The client may experience increased pain, not a decrease.

C. Increased sedation:Naloxone reverses sedation, so the client is more likely to become alert and possibly agitated, rather than more sedated.

D. Decreased blood pressure: Morphine can cause hypotension, but naloxone reverses opioid-induced effects, which may result in a rise in blood pressure rather than a decrease.

The nurse should check the placement of the tube before administering any medication or fluid via an NG tube. This can prevent aspiration, infection, or injury to the client. The nurse can check the placement by aspirating gastric contents and measuring the pH, or by using a carbon dioxide detector.

Incorrect choices:

a) Flush the tube with 30 mL of water: Flushing the tube with water is correct, but it is not the next action. The nurse should flush the tube before and after administering the medication to prevent clogging and ensure delivery.

c) Clamp the tube for 30 minutes: Clamping the tube for 30 minutes is incorrect and can cause complications. The nurse should not clamp the tube unless ordered by the provider. Clamping the tube can increase the risk of reflux, aspiration, or tube displacement.

d) Elevate the head of the bed: Elevating the head of the bed is correct, but it is not the next action. The nurse should elevate the head of the bed at least 30 degrees before and during the administration of the medication to prevent aspiration and promote gastric emptying.