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
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.9"]
Explanation
Formula: 1 kg = 1000 g, 1 kg = 2.2 lbs
- 3600 g = 3.6 kg
- 3.6 × 2.2 = 7.92 lbs
- Rounded to the nearest tenth = 7.9
Correct Answer is D
Explanation
A. Below 1.0: Too low, indicating inadequate anticoagulation, increasing the risk of clot formation.
B. 1.0-2.0: Subtherapeutic, meaning the medication is not effectively preventing clot formation.
C. Above 3.0: Too high, increasing the risk of bleeding complications
D. 2.0-3.0: The normal INR (International Normalized Ratio) for a client not on anticoagulants is 0.8-1.2. For clients on warfarin or other blood thinners, the target therapeutic range is typically 2.0-3.0, which reduces the risk of blood clots while minimizing the risk of bleeding. Some conditions, such as mechanical heart valves, may require a higher target range (2.5-3.5).
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