The nurse is caring for a client who received a high amount of fentanyl three hours ago. The nurse understands that she should anticipate a prescription for naloxone (Narcan). Which of the following signs is suggestive of opioid toxicity triad?

Respiration rate of 7 breaths per minute

Anxiety

Fever

Hypertension

Answer and Explanation

The Correct Answer is A

A.   Respiratory depression is a hallmark sign of opioid toxicity. A rate of 7 breaths per minute indicates severe respiratory depression, which can be life-threatening and requires immediate intervention with naloxone.
B.   Anxiety is not typically associated with opioid toxicity, but rather may be a sign of withdrawal or other conditions.
C.   Fever is not a sign of opioid toxicity. It may be a sign of infection or other medical issues.
D.   Hypertension is not typical of opioid toxicity; opioids usually cause hypotension, not hypertension.

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Correct Answer is A

Explanation

A. 0.9% Sodium chloride (normal saline) is an isotonic solution, meaning it has a similar osmolality to the blood and will not cause fluid shifts into or out of cells.
B. This is a hypotonic solution, which has a lower osmolality than blood and can cause water to move into cells, potentially leading to cell swelling.
C. This solution is considered isotonic, but it has dextrose, which is metabolized quickly in the body, potentially making the solution hypotonic after glucose is used.
D. This is incorrect, as 0.9% Sodium Chloride is an isotonic solution.

A. Hyperglycemia B. Hypothyroidism C. Hypokalemia D. Hypoglycemia

Correct Answer is B

Explanation

A. Levothyroxine is used to treat hypothyroidism, not hyperglycemia.
B. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism, a condition where the thyroid does not produce enough thyroid hormone.
C. Levothyroxine is not used to treat hypokalemia. Hypokalemia would require potassium supplementation or treatment of the underlying cause.
D. Levothyroxine is not used for the treatment of hypoglycemia.

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The nurse is caring for a client who received a high amount of fentanyl three hours ago. The nurse understands that she should anticipate a prescription for naloxone (Narcan). Which of the following signs is suggestive of opioid toxicity triad?

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer hydration via an intravenous route to a client. The nurse understands that the patient needs an isotonic solution. Which of the following options is considered an isotonic solution?

Correct Answer is A

Explanation

You are caring for a new client that got admitted to the unit for abdominal pain. The client takes levothyroxine (Synthroid) at home. The nurse understands that the client is taking levothyroxine (Synthroid) to treat which of the following conditions?

Correct Answer is B

Explanation

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