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

Answer and Explanation

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

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Correct Answer is C

Explanation

Aspirin can cause gastrointestinal irritation and increase the risk bleeding due to its effect on platelet aggregation. While other side effects such as gastrointestinal discomfort, nausea, and heartburn are common, bleeding is a serious side effect that requires close monitoring.

A, B, D It is less likely for aspirin to cause blurred vision, constipation, or insomnia as direct adverse effects. Aspirin has antiplatelet effects which increases risk of bleeding

A. 2 hr blood glucose 170 mg/dL B. HbA1c 5.5% C. Fasting blood glucose 155 mg/dL D. Casual blood glucose 180 mg/dl

Correct Answer is C

Explanation

Criteria for diagnosis of diabetes mellitus include

i.Symptoms of hyperglycemia + casual blood glucose of >/= 200mg/dl
ii. Fasting blood glucose of >/= 126mg/dl
iii. 2 hr blood glucose of >/= 200mg/dl
iv. HbA1c 0f >/= 6.5%
Fasting- 8 hrs without caloric intake
Casual- any time regardless of caloric intake

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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