The client has taken an overdose of an opioid. The nurse knows the client must be carefully observed for which effect on respirations?

Hyperventilation

Eupnea

Bradypnea

Hyperpnea

Answer and Explanation

The Correct Answer is C

A. Hyperventilation. Opioid overdose depresses the central nervous system, leading to slow and shallow breathing, not increased respiratory rate (hyperventilation).
B. Eupnea. Eupnea refers to normal breathing, which is unlikely in opioid overdose because opioids suppress respiratory drive.
C. Bradypnea. Opioids act on the brainstem's respiratory centers, leading to respiratory depression, characterized by slow breathing (bradypnea) and, in severe cases, respiratory arrest. This is the most life-threatening effect requiring immediate intervention.
D. Hyperpnea. Hyperpnea refers to deep breathing, which is not a typical response to opioid overdose. Instead, breathing becomes slow and shallow, increasing the risk of hypoxia.

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Correct Answer is ["0.5"]

Explanation

To determine the number of tablets per dose, use the formula:

Tablets per dose = Dose ordered/Dose available

Given:

Ordered dose = 400 mg
Available dose = 800 mg per tablet

Tablets per dose = 400mg/(800mg/tablet)

= 0.5 tablet

Thus, the nurse will administer 0.5 tablet per dose.

A. have another nurse recheck your findings for accuracy. B. record the vital signs and compare them with previously charted vital signs. C. report them to the charge nurse and call the doctor for orders. D. instruct the client on diet and exercise for high blood pressure.

Correct Answer is B

Explanation

A. Have another nurse recheck your findings for accuracy. The vital signs are within normal limits, so there is no immediate need for validation by another nurse.
B. Record the vital signs and compare them with previously charted vital signs. The patient's blood pressure (120/68 mmHg), pulse (84 bpm), and respirations (18 breaths/min) are within normal ranges. The best action is to document the findings and compare them to previous values to identify any trends or changes.
C. Report them to the charge nurse and call the doctor for orders. Since the vital signs are normal, there is no need for immediate reporting or new medical orders.
D. Instruct the client on diet and exercise for high blood pressure. The blood pressure 120/68 mmHg is not high, so there is no need for immediate education on hypertension management.

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The client has taken an overdose of an opioid. The nurse knows the client must be carefully observed for which effect on respirations?

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Naxlex Comprehensive Predictor Exams

The physician orders acyclovir 400 mg po three times a day for herpes. The medication is supplied in 800-mg tablets. How many tablets will the nurse administer?

Correct Answer is ["0.5"]

Explanation

You are assessing a client who has the following vital signs: blood pressure 120/68, pulse 84, respirations 18. You should:

Correct Answer is B

Explanation

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