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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Blood transfusions are not indicated for DKA unless there's severe anemia, which is not a common presentation.
B. Blood sugar checks every 4 hours and subcutaneous sliding scale Insulin are not appropriate for the severe hyperglycemia and dehydration present in DKA.
C. TPN is not necessary as the patient can tolerate oral intake once stabilized.
D. Continuous IV fluid administration is essential to correct dehydration and electrolyte imbalances, which are common in DKA. Isotonic solutions like normal saline or lactated Ringer's are typically used.

A. Decreased urine specific gravity B. Presence of insulin C. Presence of glucose D. Presence of ketones

Correct Answer is A

Explanation

A. Specific gravity measures the concentration of solutes in urine. In diabetes insipidus, the urine is very dilute, so the specific gravity will be low.
B. Insulin is related to diabetes mellitus, not diabetes insipidus. There would be no insulin in the urine in this case.
C. Glucose in the urine is typically associated with diabetes mellitus, not diabetes insipidus.

D. Presence of ketones: Ketones are typically found in the urine during uncontrolled diabetes mellitus or starvation. They would not be present in diabetes insipidus.

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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?

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Naxlex Comprehensive Predictor Exams

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