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. Sodium 126 mEq/L: This value indicates hyponatremia, which can cause confusion, seizures, and fluid imbalance. Normal sodium levels are 135-145 mEq/L, so this is a critical finding.

B. Chloride 99 mmol/L: This is within the normal range (96-106 mmol/L), so it is not concerning.

C. Albumin 4.9 mg/dL: Normal albumin levels are 3.5-5.0 mg/dL, so this value is within range.

D. Potassium 3.6 mEq/L: Normal potassium levels are 3.5-5.0 mEq/L. This value is on the lower end but still within normal limits.

A. Baked chicken B. Fresh fruit basket C. A factory sealed box of chocolates D. Bagels

Correct Answer is B

Explanation

A. Baked chicken: Safe if properly cooked, as heat kills bacteria.

B. Fresh fruit basket: A WBC count of 2,200/mm³ indicates neutropenia, increasing the risk of infections. Fresh fruits (unless thoroughly washed or peeled) may contain bacteria or fungi, posing an infection risk.

C. A factory-sealed box of chocolates: Sealed items reduce the risk of contamination.

D. Bagels: Processed and baked, so unlikely to carry harmful bacteria.

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