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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Heroin is an opioid, which causes central nervous system depression, leading to drowsiness, miosis (pinpoint pupils), and slurred speech.
B. These are more typical of stimulant use such as cocaine or methamphetamine, not heroin.
C. These are withdrawal symptoms of opioids, not effects immediately following injection.
D. These are associated with stimulant intoxication or withdrawal, not opioid intoxication.
Correct Answer is C
Explanation
A. Anger is a common emotion in psychiatric patients but is less predictive of suicide risk.
B. Elation may occur in some mood disorders but is not strongly associated with imminent suicide risk.
C. Hopelessness is the feeling most strongly correlated with suicidal ideation and attempts, making it a key predictor for elevated suicide risk.
D. Sadness is a symptom of depression but alone does not reliably predict suicide risk without accompanying hopelessness.
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