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. Physician assistants typically assist with medical diagnoses and treatment plans, not rehabilitation.
B. Physical therapists focus on physical movement and rehabilitation, not typically assisting with activities of daily living such as feeding.
C. Occupational therapists specialize in helping individuals with daily activities, making them the appropriate referral for this client's needs.
D. Social workers typically provide assistance with psychosocial support and community resources, which may be needed but are not as directly related to the client's physical limitations.
Correct Answer is A
Explanation
A. Rinsing the mouth after administration of an inhaled corticosteroid helps prevent oral thrush, a common side effect of these medications.
B. Limiting caffeine intake is not specifically necessary for the use of inhaled corticosteroids.
C. Taking the medication with meals is not required for inhaled corticosteroids.
D. Checking the pulse after administration is not necessary for inhaled corticosteroids.
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