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. Giving medication against a patient’s wishes does not fulfill the standard of care; it violates patient autonomy.
B. Malpractice involves professional negligence resulting in harm, but here the issue is intentional violation of patient rights, not negligence.
C. Administering medication after a patient has explicitly refused is considered battery, which is intentional and unauthorized physical contact, even if harm does not occur.
D. Negligence is a failure to act reasonably or omission of care. This situation is an intentional act, making battery the correct legal term.
Correct Answer is C
Explanation
A. African American females, especially with strong religious affiliation and social ties, have a lower risk of suicide compared to other demographics.
B. Adolescents may have suicidal ideation under stress, but the protective factors (academic and athletic success, no indication of psychiatric illness) lower the risk.
C. Older white males are at the highest statistical risk for suicide, especially when compounded by chronic illness, terminal diagnosis, social isolation (single), and depression.
D. Despite chronic illness (type 2 diabetes), protective factors such as being married and having many grandchildren reduce suicide risk.
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