A nurse is teaching a newly licensed nurse about assessing a client who received naloxone to treat opioid toxicity. The nurse should include that which of the following findings indicate the intervention is effective?
Cheyne-stokes respirations
Substernal retractions during respirations
Increased respirations
Kussmaul respirations
The Correct Answer is C
Naloxone is an opioid antagonist used to rapidly reverse the effects of an opioid overdose, which often includes severely slowed or stopped breathing.
- CheyneStokes respirations (A) and Kussmaul respirations (D) are abnormal breathing patterns that are not indicative of effective naloxone treatment.
- Substernal retractions (B) indicate difficulty breathing, which would not suggest that the naloxone has been effective.
- Effective naloxone intervention is typically indicated by the restoration of normal breathing patterns in a person who has experienced opioid toxicity.
A-Cheyne stokes respirations is due to conditions such as stroke, brain injury
B-Substernal retraction occur in respiratory distress due to pulmonary conditions such as pneumonia D-Kussmaul breathing is found in diabetes ketoacidosis
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Increased blood levels of insulin leads to salicylism. Features of salicylism include tinnitus, hearing loss, respiratory alkalosis, metabolic acidosis, nausea and vomiting, headache, dizziness
B, C- Not features of salicylism
D- Can be present but not very specific
Correct Answer is D
Explanation
The lab value that should be reported to the provider is D. Sodium 126 mEq/L. Normal sodium levels are typically between 135 and 145 mEq/L. A sodium level of 126 mEq/L is considered hyponatremia, which is a lower-than-normal concentration of sodium in the blood. Hyponatremia can have various causes and may result in symptoms such as headache, confusion, seizures, and other serious health issues.
A-Normal magnesium levels – 1.7-2.2 mEq/L
B-Normal potassium levels- 3.5-5.5mEq/L
C-Normal chloride levels- 96-106 mEq/L
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