Exhibits

Review H and P, nurse's notes, laboratory results, flow sheet, and orders.

Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.

A. Increases the strength of the urine stream:

This is not the purpose of probenecid. Probenecid primarily affects uric acid metabolism in the body, not the strength of the urine stream.

The nurse should explain the purpose of probenecid, a uricosuric drug, as:

B. Promotes excretion of uric acid in the urine.

Explanation: Probenecid is a uricosuric medication that increases the excretion of uric acid in the urine. It works by inhibiting the reabsorption of uric acid in the kidneys, which helps lower blood uric acid levels. This is beneficial in the management of conditions like gout and hyperuricemia, as it can reduce the risk of uric acid crystal formation in joints and tissues.

C. Prevents the formation of kidney stones:

While probenecid may indirectly reduce the risk of certain types of kidney stones associated with high uric acid levels, its primary purpose is not to prevent kidney stone formation. It is used to manage conditions like gout and hyperuricemia.

D. Decreases pain and burning during urination:

Probenecid does not have a direct effect on pain and burning during urination. These symptoms are typically associated with urinary tract infections or other urinary conditions, not gout or hyperuricemia managed with probenecid.

A.While administering a second dose of naloxone (choice A) may be considered, the priority is to address the client's immediate life-threatening condition by starting CPR. Naloxone may be administered as part of the resuscitation effort.

B.Assessing the Glasgow Coma Scale (choice B) is important but not the first action to take when the client is in such severe distress. The priority is to address the inadequate breathing and oxygenation.

C.Preparing for chest tube insertion (choice C) may not be relevant in this situation. The primary concern is the client's respiratory and circulatory status.

In a situation where a client has received naloxone for opioid-induced respiratory depression and the client's condition worsens with a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and an inability to be aroused, the nurse should:

D. Initiate cardiopulmonary resuscitation (CPR).

Explanation:

These vital signs indicate severe respiratory distress and potential respiratory failure. The low oxygen saturation (75%) suggests inadequate oxygenation, and a respiratory rate of 4 breaths/minute is dangerously low. The inability to be aroused may indicate a severe level of respiratory depression. In such a critical situation, CPR should be initiated to maintain oxygenation and circulation while waiting for additional medical assistance.