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 ["A","C","D"]
Explanation
A. A triglyceride level of 260 mg/dL is above the threshold of 150 mg/dL, which is considered elevated and is one of the criteria for Metabolic Syndrome.
B. Not Consistent with Metabolic Syndrome. For males, the waist circumference criterion for Metabolic Syndrome is greater than 40 inches. A waist size of 35 inches is below this threshold.
C. Consistent with Metabolic Syndrome. A systolic blood pressure of 150 mm Hg is above the threshold of 130 mm Hg, which is used to diagnose elevated blood pressure as part of Metabolic Syndrome.
D. This is consistent with metabolic syndrome. High LDL cholesterol is a risk factor.
E. Not Consistent with Metabolic Syndrome. For females, the waist circumference criterion for Metabolic Syndrome is greater than 35 inches. A waist size of 28 inches is below this threshold.
Correct Answer is D
Explanation
A. Jaundice is associated with liver problems.
B. Kehr's sign is associated with irritation of the diaphragm, often due to conditions like splenic rupture.
C. Polycythemia vera is a blood disorder characterized by an overproduction of red blood cells.
D. Autoantibodies are antibodies produced by the immune system that attack the body's own cells. In Type 1 Diabetes, these autoantibodies target the insulin-producing cells. C-peptide is a byproduct of insulin production. Since Type 1 Diabetes involves the destruction of insulin-producing cells, C-peptide levels will be low or absent.
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