A nurse cares for a patient experiencing an opioid overdose. Which focused assessment has the highest priority?

Neurological

Respiratory

Hepatic

Cardiovascular

Answer and Explanation

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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Correct Answer is ["A","B","E"]

Explanation

A. Hypothermia (35.3°C/96.5°F) is dangerous and requires immediate intervention to prevent worsening metabolic and cardiovascular instability.
B. Slow respiratory rate (10/min), wheezes, crackles, productive cough, and hypoxemia (SpO₂ 90% on room air) indicate respiratory compromise and possible impending failure.
C. Although very high, it confirms intoxication but does not require immediate reporting compared to life-threatening findings.
D. Important for discharge planning and social work involvement, but not an immediate medical priority.
E. Hypotension (88/66 mmHg) threatens organ perfusion and needs urgent management.
F. Malnutrition is significant but not an immediate emergency compared to airway, breathing, circulation, and temperature concerns.

A. "You will give up your right to refuse antidepressant medications upon admission." B. "You will still need to give informed consent for treatments after admission." C. "Your provider is required to notify your employer of your admission." D. "You cannot leave the facility until your provider completes a discharge summary."

Correct Answer is B

Explanation

A. Voluntary admission does not remove a patient’s right to refuse treatment; informed consent is still required for all medications and procedures.

B. Clients admitted voluntarily retain the right to make decisions about their care, including providing informed consent for treatments and medications. This statement accurately reflects the client’s rights.

C. Healthcare providers are not allowed to disclose patient admission information without consent; confidentiality is maintained.

D. Voluntary patients have the right to request discharge, usually with a short notice period, even before a formal discharge summary is completed.

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A nurse cares for a patient experiencing an opioid overdose. Which focused assessment has the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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