A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?
Check the client's belongings for additional drugs.
Pad the side rails of the bed because seizures are likely.
Prepare a dose of ipecac, an emetic.
Monitor respiratory function.
The Correct Answer is D
D. Barbiturates can cause respiratory depression, hypoventilation, and potentially respiratory arrest, which can lead to hypoxia and cardiac arrest if not promptly recognized and managed.
A. While it's important to assess for any additional drugs or substances that the client may have ingested, this action is not the priority when managing a client with a barbiturate overdose.
B. Seizures can occur as a result of barbiturate overdose, but respiratory depression is the more immediate and life-threatening concern.
C. Ipecac is no longer recommended for the induction of vomiting in cases of drug overdose due to the risk of complications such as aspiration pneumonia and delayed treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. By offering assistance with getting ready and framing participation in activities as a manageable task, the nurse can help the client overcome feelings of inertia and initiate engagement. It acknowledges the client's current difficulties while providing gentle encouragement to participate in the unit's programs.
A. This response may come across as dismissive of the client's feelings and struggles. It may also increase feelings of guilt or inadequacy in the client, potentially worsening their depressive symptoms.
B. It offers support without pressure and allows the client to take the initiative when they feel comfortable to engage in activities. However, it may not provide enough encouragement or assistance for the client to overcome their depressive symptoms and initiate activity.
C. Encouraging prolonged withdrawal from activities without offering support or motivation to engage may contribute to further isolation and exacerbate depressive symptoms.
Correct Answer is D
Explanation
D. It acknowledges the client’s comfort while emphasizing the nurse’s professional role. It sets clear boundaries and reinforces that the nurse’s primary purpose is to provide care and support within the therapeutic context.
A. This response acknowledges the client’s feelings but does not set clear boundaries. It may
inadvertently encourage the client to view the nurse as a friend rather than a professional caregiver.
B. While this response establishes boundaries, it may come across as abrupt or cold. It lacks empathy and understanding.
C. This response reflects empathy and encourages further exploration of the client’s feelings. However, it does not address the professional boundaries explicitly.
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