An emergency department nurse admits a client who has tried to commit suicide by taking an overdose of hydromorphone (Dilaudid), a narcotic. For which acid-base imbalance should the nurse assess this client for?
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
The Correct Answer is D
Rationale:
A. Respiratory alkalosis results from hyperventilation, which is unlikely with opioid overdose.
B. Metabolic acidosis can occur from other causes but is not the primary imbalance here.
C. Metabolic alkalosis is not associated with opioid overdose.
D. Respiratory acidosis occurs due to hypoventilation caused by opioid-induced respiratory depression, leading to CO₂ retention and decreased pH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Increased bowel sounds are more commonly associated with conditions like diarrhea or early bowel obstruction, not hypokalemia.
B. Numbness in the feet is more characteristic of peripheral neuropathy or hypocalcemia, not a typical early sign of hypokalemia.
C. A positive Trousseau's sign indicates hypocalcemia, not hypokalemia.
D. Reports of fatigue are a common and early manifestation of hypokalemia due to muscle weakness and decreased cellular function resulting from low potassium levels.
Correct Answer is ["20"]
Explanation
Rationale:
To calculate the volume to administer, use the formula:
(Desired dose ÷ Dose on hand) × Volume on hand = Volume to administer
(500 mg ÷ 250 mg) × 10 mL = 2 × 10 mL = 20 mL
The nurse will administer 20 mL per dose.
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