A nurse cares for a patient experiencing an opioid overdose. Which focused assessment has the highest priority?
Neurological
Respiratory
Hepatic
Cardiovascular
The Correct Answer is B
A. Neurological assessment is important, but not the priority since opioid overdose primarily causes life-threatening respiratory depression.
B. Respiratory assessment is the highest priority because opioids suppress the respiratory center, leading to hypoventilation, hypoxia, or apnea.
C. Hepatic assessment is not the immediate concern in acute overdose.
D. Cardiovascular assessment is necessary, but respiratory status takes precedence because airway and breathing are life-sustaining priorities.
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Related Questions
Correct Answer is C
Explanation
A. While self-awareness is beneficial, the primary reason for monitoring personal feelings is to prevent bias and maintain objectivity, not only to enhance advocacy.
B. Sympathy may be natural, but unchecked positive feelings do not replace professional assessment or judgment.
C. Nurses who experience anger, frustration, or judgment toward the family or situation may misinterpret information, make biased decisions, or fail to provide appropriate support. Awareness of personal feelings helps maintain objective and effective care.
D. Strong positive feelings can still lead to boundary issues or inappropriate transference, which is not the intended goal of professional self-awareness.
Correct Answer is C
Explanation
A. Thyroid function tests are not routinely required for valproate therapy; this applies more to lithium therapy.
B. A pretreatment EEG is not necessary before starting valproate; it is used primarily for seizure evaluation.
C. Valproate can cause hepatotoxicity, so monitoring liver function tests (LFTs) before and during therapy is essential for safety.
D. High serum sodium levels are not related to valproate toxicity; this concern is associated with lithium therapy, not valproate.
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