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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
B. Individuals experiencing depression may have negative thoughts about themselves, feelings of worthlessness, and a diminished sense of self-esteem. These negative self-perceptions can contribute to feelings of hopelessness and despair.
C. Insomnia is a common sleep disturbance associated with depression. Sleep disturbances are prevalent among individuals with depression and can exacerbate other symptoms such as fatigue, irritability, and difficulty concentrating.
D. Individuals with depression may experience irritability, mood swings, and a low tolerance for frustration. Irritability can be a manifestation of the emotional distress and dysregulation often experienced in depression.
A. While some individuals with depression may experience physical symptoms such as headaches and digestive disturbances, these symptoms are not specific to depression
E Euphoria is not a typical finding in depression. Instead, euphoria is more commonly associated with mood disorders such as bipolar disorder
Correct Answer is ["B"]
Explanation
A. Disordered thinking, also known as formal thought disorder, involves disturbances in the thought process, such as loosening of associations, thought blocking, or tangentiality. These disturbances result in fragmented or illogical thinking patterns.
B. Flat affect refers to a reduction or absence of emotional expression. Individuals with flat affect may appear emotionally dull or unresponsive, showing little variation in facial expressions or vocal tone.
D. Apathy refers to a lack of motivation, interest, or enthusiasm in engaging with one's environment or pursuing goals. Individuals with schizophrenia may experience extreme apathy, which can contribute to social withdrawal and functional impairment.
E. Lack of initiative, also known as avolition, refers to a reduction or absence of goal-directed behavior or motivation to engage in purposeful activities. Individuals with schizophrenia may have difficulty initiating and sustaining activities of daily living or pursuing personal interests.
F. Social withdrawal involves the avoidance or reduction of social interactions and activities. It may result from factors such as social anxiety, apathy, or disinterest in socializing due to psychotic symptoms or negative symptoms of schizophrenia.
C. Trouble concentrating is not typically considered a primary symptom of schizophrenia. While difficulties with concentration or attention may occur, they are more often associated with cognitive impairments rather than positive or negative symptoms.
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