The nurse accidentally administers 15 mg of morphine IM to a client who had been given another dose of morphine 15 mg IM about 30 minutes earlier. What action should the nurse be prepared to take?
Assistance with endotracheal intubation
Administration of protamine sulfate
Administration of naloxone (Narcan)
Administration of oxygen
The Correct Answer is C
A. Endotracheal intubation might be necessary in severe cases of respiratory depression, but it is not the first step in addressing opioid overdose.
B. Protamine sulfate is the antidote for heparin, not morphine.
C. Naloxone (Narcan) is an opioid antagonist that can rapidly reverse the effects of opioid overdose, including respiratory depression.
D. Administration of oxygen is supportive care but does not address the root cause of opioid overdose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Acupuncture is considered higher risk and usually requires specialized training.
B. Acupressure is also higher risk and requires specific knowledge and skill.
C. Music, relaxation, and touch are considered low-risk therapies that can be safely used by nurses to enhance patient comfort and well-being.
D. Hypnotherapy is a more specialized therapy that may require additional training.
Correct Answer is A
Explanation
A. Grilled salmon is high in protein and also provides omega-3 fatty acids, which are beneficial for wound healing.
B. Kidney beans are a good source of protein but not as high as salmon.
C. Raw spinach is nutritious but low in protein.
D. Peanut butter contains protein, but not as much as salmon and may not be as easily digestible for some patients.
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