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 D

Explanation

Rationale- Peripheral edema, which is swelling typically in the arms and legs due to the accumulation of fluid, is a common finding in hypervolemia. This condition can also lead to symptoms such as bloating, rapid weight gain, and high blood pressure due to the increased fluid in the bloodstream. Hypervolemia causes the accumulation of excessive fluid in the tissues leading to edema

A,B,C- Oliguria, bradycardia, and hypotension are not typical findings associated with hypervolemia. Instead, they are features of hypovolemia

A. "l plan to continue nursing my baby until he is at least a year old." B. "l had strep throat about one year ago." C. "I got my flu shot at the pharmacy two weeks ago." D. "l am allergic to shellfish."

Correct Answer is D

Explanation

Most shellfish are treated with sulfite which can cause allergic reaction ranging from dermatitis to life-threatening reactions. Glyburide is a sulfonylurea which have cross-reactivity with sulfa containing drugs/foods, therefore, likely to cause an allergic reaction.

A- Excretion of sulfonylureas in breast milk is very minimal and breastfeeding should be continued B-There is no cross reactivity between a streptococcal infection and sulfonylureas C- No relationship between the flu shot and the sulfonylureas as it lacks Sulphur or any related components.

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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

A nurse is assessing a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?

Correct Answer is D

Explanation

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