The nurse is collecting data for a client suspected of a drug overdose and notes the clients has slow breathing and decreased blood pressure. The nurse correctly documents these findings as:

Tachypnea and hypotension

Tachypnea and hypertension

Bradypnea and hypertension

Bradypnea and hypotension

Answer and Explanation

The Correct Answer is D

A. Tachypnea and hypotension: Tachypnea means fast breathing, but the client has slow breathing.

B. Tachypnea and hypertension: Tachypnea (fast breathing) and hypertension (high blood pressure) do not match the client’s symptoms.

C. Bradypnea and hypertension: Bradypnea (slow breathing) is correct, but hypertension (high BP) is incorrect because the client has low BP (hypotension).

D. Bradypnea and hypotension: Bradypnea means slow breathing, and hypotension means low blood pressure, both of which match the symptoms of a drug overdose (e.g., opioid overdose).

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Correct Answer is A

Explanation

A. "This test will inform your provider how your kidneys are functioning." Creatinine is a waste product from muscle metabolism and is excreted by the kidneys. Elevated creatinine levels indicate impaired kidney function.

B. "This test will inform your provider if you have a thyroid disorder." Thyroid disorders are typically diagnosed with TSH, T3, and T4 tests, not creatinine.

C. "This test will inform your provider if you have an infection." Infections are usually diagnosed with CBC (WBC count) or cultures, not creatinine.

D. "This test will inform your provider if you are anemic." Anemia is diagnosed with hemoglobin and hematocrit (H&H), not creatinine levels.

A. Place the patient on a cardiac monitor and check the patency of the IV B. Administer potassium intravenously in an IV push bolus C. Discontinue other medications that may affect potassium levels D. Avoid potassium rich foods in the diet

Correct Answer is A

Explanation

A. Place the patient on a cardiac monitor and check the patency of the IV: Hypokalemia (K+ = 2.5 mEq/L) can cause life-threatening cardiac dysrhythmias, so cardiac monitoring is essential. Additionally, potassium is highly irritating to veins, so IV patency must be confirmed to prevent extravasation and tissue damage.

B. Administer potassium intravenously in an IV push bolus- NEVER give potassium IV push as it can cause fatal cardiac arrest. Potassium must always be diluted and infused slowly.

C. Discontinue other medications that may affect potassium levels- Adjusting medications may be necessary, but not an immediate priority over cardiac monitoring.

D. Avoid potassium-rich foods in the diet - Incorrect because the client needs potassium replacement, not restriction.

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The nurse is collecting data for a client suspected of a drug overdose and notes the clients has slow breathing and decreased blood pressure. The nurse correctly documents these findings as:

Nursing Test Bank

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