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 C

Explanation

A. Consume foods that are high in iodine: While iodine is necessary for thyroid function, levothyroxine therapy is aimed at directly replacing thyroid hormone. Excessive iodine intake can potentially disrupt thyroid hormone balance, so encouraging high iodine consumption is not the primary focus when educating about levothyroxine use.

B. Administer levothyroxine at bed time: Levothyroxine is best absorbed when taken in the morning on an empty stomach, ideally 30 to 60 minutes before breakfast. Taking it at bedtime could reduce its absorption if the stomach is not empty or if it interacts with food or other nighttime medications.

C. Take medication on an empty stomach: Levothyroxine absorption is significantly improved when the medication is taken on an empty stomach, separated from food and other medications by at least 30 to 60 minutes. This practice ensures optimal therapeutic effects and maintains stable thyroid hormone levels.

D. Avoid the use of iron supplements: While iron supplements can interfere with the absorption of levothyroxine, the instruction is not necessarily to avoid them altogether, but rather to separate their administration by several hours (usually 4 hours) from the levothyroxine dose to ensure proper absorption of both.

A. Serum potassium level of 3.8 mEq/L (3.8 mmol/L). B. Serum ammonia level of 30 μg/dL (17.62 μmol/dL). C. Hemoglobin level of 13.5 g/dL (135 g/L). D. Serum glucose level of 120 mg/dL (6.7 mmol/L).

Correct Answer is A

Explanation

A. Serum potassium level of 3.8 mEq/L (3.8 mmol/L): Sodium polystyrene sulfonate is given to treat hyperkalemia by exchanging sodium for potassium in the intestines, promoting potassium elimination. A potassium level within the normal range (3.5 to 5.0 mEq/L) indicates that the medication has effectively lowered dangerously high potassium levels.

B. Serum ammonia level of 30 μg/dL (17.62 μmol/dL): Although a normal ammonia level is important for metabolic balance, sodium polystyrene sulfonate does not target ammonia levels. Changes in ammonia are more relevant to liver function issues, not potassium regulation or AKI management.

C. Hemoglobin level of 13.5 g/dL (135 g/L): Hemoglobin levels are important for evaluating anemia, especially in clients with kidney disease, but sodium polystyrene sulfonate does not affect hemoglobin. This value would not demonstrate the drug’s effectiveness.

D. Serum glucose level of 120 mg/dL (6.7 mmol/L): Elevated glucose could be concerning in clients with diabetes or metabolic disorders but is unrelated to the action of sodium polystyrene sulfonate. Glucose levels are not used to assess the effectiveness of this medication.

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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

A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse education was effective?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two weeks. The nurse notes that the client remains weak with observable muscle atrophy. Which action should the nurse take?

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.)

A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain to prior to administering the medication?

Patient Data Which other medications might be helpful for this client in his management of asthma? Select all that apply.

A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?

A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

Patient Data Select from Word Choices to complete the sentence. The thiazide diuretic works to decrease the client's blood pressure by ______, and the angiotensin converting enyzme (ACE) inhibitor works to decrease the client's blood pressure by ________ and _______

A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client?

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.