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 D
Explanation
A. Instruct the client to wait until you are completely finished before asking any questions – This discourages client engagement and may prevent the nurse from addressing concerns in real time.
B. Teach information at a 5th-grade level – While simple language is beneficial, the level should be tailored to the client’s comprehension rather than assuming all clients understand at a 5th-grade level.
C. Talk about the least important information in the beginning and the most important at the end – Clients may have limited attention spans, and it is better to start with essential information.
D. Use teach-back method and active learning: The teach-back method ensures that the client understands the medication instructions by asking them to repeat the information. Active learning engages the client in the learning process, improving retention.
Correct Answer is B
Explanation
A. How long the patient will experience the medication effects: This describes duration of action, not peak effect.
B. How long it will take to see the maximum effect of the medication: The peak effect is the time at which the drug reaches its maximum concentration in the bloodstream, leading to the strongest therapeutic effect.
C. How long it will take to see the beginning of the therapeutic effect of the medication: This describes onset of action, not peak effect.
D. The time it takes for the amount of medication in the body to decrease by half: This describes half-life, not peak effect.
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