You have just given your patient 0.4 mg IVP of Naloxone for suspected opioid overdose, and the patient has regained consciousness and is breathing normally. Which of the following is your PRIORITY intervention?
Prepare to administer pain meds since the patient will be in pain
Provide teaching to the patient about preventing opioid induced respiratory depression
Offer to order the patient food to build rapport and reduce agitation
Stay with the patient and monitor for return of respiratory depression
The Correct Answer is D
A. While the patient may experience pain, it is not the immediate priority. The primary concern is the possibility of the opioid effects returning, leading to respiratory depression.
B. Patient education is important, but it should be done after the patient is stable and out of immediate danger.
C. Building rapport is important, but the patient's immediate physiological needs take precedence.
D. Naloxone has a short half-life, meaning its effects can wear off before the opioid does. The patient needs to be closely monitored for signs of returning respiratory depression, which can be fatal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is a late-stage sign of hypoxia, indicating cardiac arrest and no heart activity.
B. This is an early sign of hypoxia. As oxygen levels drop, the brain becomes agitated and the patient may exhibit restlessness, confusion, or anxiety.
C. This is a late sign of hypoxia, occurring when the brain is severely deprived of oxygen.
D. This is a late sign of hypoxia, indicating a bluish discoloration of the skin due to deoxygenated hemoglobin.
Correct Answer is C
Explanation
A. Pink skin is characteristic of emphysema. Unlike chronic bronchitis, patients with emphysema often maintain adequate oxygen levels until the disease is very advanced.
B. Barrel chest is a classic sign of emphysema due to air trapping in the lungs, causing the chest to become hyperinflated.
C. Cyanotic skin tone is more common in chronic bronchitis due to chronic hypoxia.
D. Pursed-lip breathing is a common technique used by patients with emphysema to help them exhale more completely.
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