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.

Answer and Explanation

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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Correct Answer is B

Explanation

B. Anxiolytics are prescribed to reduce symptoms of anxiety, such as nervousness or restlessness, which can interfere with problem-solving and decision-making abilities. By alleviating anxiety symptoms, the medication can help the client focus more effectively on addressing underlying issues or stressors.

A. While anxiolytics can be effective in managing acute symptoms of anxiety, they are not typically intended for long-term use.

C. Many anxiolytic medications, particularly benzodiazepines, carry a risk of dependence and addiction if used improperly or for an extended period.

D. While anxiolytics can help alleviate symptoms of anxiety, they may not completely eliminate anxiety in all situations.

A. Talk to the client and identify the specific limits that are required of the client's behavior. B. Escort the client to her room each time the nurse observes the client socializing with other clients. C. Discuss the problem in a community meeting with the other clients on the unit present. D. Tell the other clients to ignore the client's lies.

Correct Answer is A

Explanation

A. Engaging in a conversation with the client allows the nurse to set clear expectations and boundaries. The nurse can explain the acceptable behavior and the consequences of disruptive actions. It’s essential to approach this conversation calmly and professionally.

B. While removing the client from social situations may temporarily prevent disruptive behavior, it does not address the underlying issue. Isolating the client may also negatively impact their well- being. It’s better to address the behavior directly rather than resorting to isolation.

C. Holding a community meeting involving all clients may not be appropriate or effective. It could escalate tensions and create an uncomfortable environment for everyone. Individualized interventions are more effective.

D. Ignoring disruptive behavior may not be the best approach. It’s essential to address the issue directly rather than expecting other clients to tolerate disruptive behavior.

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A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An anxiolytic agent has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?

Correct Answer is B

Explanation

A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?

Correct Answer is A

Explanation

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