Patient Data

For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.

"Naloxone will not affect the client's level of pain."

"You can give naloxone intravenously intramuscularly, or subcutaneously."

"When given IV, naloxone starts working immediately and can last several hours.

"If the first dose does not work, you can give as many doses as needed to reverse respiratory depression."

"Naloxone works best on pure agonist opioids."

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Understanding:

"You can give naloxone intravenously, intramuscularly, or subcutaneously."
"If the first dose does not work, you can give as many doses as needed to reverse respiratory depression."
"Naloxone works best on pure agonist opioids."

No Understanding:

"Naloxone will not affect the client's level of pain."
"When given IV, naloxone starts working immediately and can last several hours."

Rationale:

"Naloxone will not affect the client's level of pain. This shows no understanding because naloxone blocks all opioid receptors, including those responsible for analgesia. Once naloxone is administered, the client's opioid-induced pain relief is lost, and pain will likely intensify unless managed separately.
"You can give naloxone intravenously, intramuscularly, or subcutaneously." This shows understanding because naloxone is approved for IV, IM, and SC administration. IV is preferred for rapid effect in emergencies, while IM or SC may be used when IV access is delayed or unavailable.
"When given IV, naloxone starts working immediately and can last several hours." This shows no understanding because naloxone’s onset is rapid when given IV (within 1–2 minutes), but its duration is short, generally lasting 30–90 minutes. It often requires repeated dosing to sustain reversal effects.
"If the first dose does not work, you can give as many doses as needed to reverse respiratory depression." This shows understanding because multiple doses of naloxone may be necessary depending on the opioid’s half-life and the severity of respiratory depression. Repeated dosing ensures that ventilation is supported adequately.
"Naloxone works best on pure agonist opioids." This shows understanding because naloxone is most effective against pure opioid agonists like morphine, heroin, and fentanyl. It competitively displaces these substances from opioid receptors, reversing their full agonist effects.

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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A. Range of motion: Range of motion assessments are important for clients with musculoskeletal or joint issues but are not direct indicators of the effectiveness of cardiovascular medications like atenolol, furosemide, and enalapril. Thus, it is not a primary focus for evaluating treatment success in this case.

B. Blood pressure: Atenolol and enalapril both help lower blood pressure, and monitoring it is critical to ensure hypertension is controlled. Blood pressure assessment provides direct feedback about the effectiveness of the client's antihypertensive therapy and helps prevent complications such as stroke or heart failure progression.

C. Heart sounds: Evaluating heart sounds can reveal new or worsening murmurs, gallops, or signs of fluid overload such as an S3 heart sound, all of which can indicate worsening heart failure. Heart sound assessment helps monitor the effectiveness of heart failure management strategies.

D. Daily weight: Daily weights are crucial for clients with heart failure to detect fluid retention early. Furosemide is prescribed to reduce fluid overload, and sudden increases in weight may signal worsening heart failure despite therapy, making this a vital monitoring parameter.

E. Bowel sounds: Bowel sounds are not directly affected by atenolol, furosemide, or enalapril. While monitoring bowel function is important for general care, it is not relevant to evaluating the effectiveness of cardiovascular medications in managing heart failure, hypertension, or coronary artery disease.

A. Midmorning B. Shortly after midnight C. No peak occurs. D. Midafternoon.

Correct Answer is C

Explanation

A. Midmorning: Short-acting and some intermediate-acting insulins peak during midmorning, but glargine insulin is long-acting and designed to provide a steady level of insulin without a pronounced peak, making midmorning hypoglycemia unlikely.

B. Shortly after midnight: Although nighttime hypoglycemia can occur with other types of insulin, glargine releases slowly over 24 hours, maintaining a relatively flat serum insulin concentration and reducing the risk of nocturnal hypoglycemia.

C. No peak occurs: Glargine insulin is formulated to have no pronounced peak, instead providing a continuous, steady release over approximately 24 hours. This flat profile minimizes the risk of sudden hypoglycemic episodes associated with peak insulin levels.

D. Midafternoon: Hypoglycemia during midafternoon is more characteristic of short-acting or intermediate-acting insulins, not glargine. Since glargine has a steady release, it does not typically cause time-specific hypoglycemia like shorter-acting insulins do.

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Patient Data For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN), is receiving atenolol, furosemide, and enalapril daily. Which assessment(s) should the nurse include in evaluating the effectiveness of the medications? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

The nurse is teaching a client with type 1 diabetes mellitus about the onset, peak, and duration of a new prescription for glargine insulin. If the insulin is self administered at 0800, when is the client most likely to experience hypoglycemia?

Correct Answer is C

Explanation

The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?

A client receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?

Patient Data Which actions should the nurse take to assure safety during morphine administration? Select all that apply.

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?

A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later, the nurse observes that his speech is slurred and he has an ataxic gait. Which action should the nurse implement?

The nurse mixes diphenhydramine 25 mg in a 100 mL bag of 0.9% sodium chloride, which is to be administered IV over 30 minutes. The IV pump should be set to administer how many mL/hour? (Enter numeric value only.)

Patient Data

For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.