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. Haloperidol, a typical antipsychotic, commonly causes extrapyramidal side effects (EPS) such as muscle stiffness, rigidity, tremors, and sedation, which can make patients feel “robotic.”
B. Headache, watery eyes, and runny nose are not typical side effects of haloperidol; they are more consistent with allergy or upper respiratory symptoms.
C. Mild fever, sore throat, and skin rash could indicate a serious reaction such as agranulocytosis, which is rare and more common with atypical antipsychotics like clozapine.
D. Sweating, nausea, and diarrhea are not primary side effects of haloperidol; they may occur with other medications or conditions but are not typical EPS.
Correct Answer is B
Explanation
A. This is an example of insight into underlying fear, not rationalization.
B. Rationalization involves providing a justifiable-sounding reason for unacceptable behavior (blaming the victim for provocation).
C. This reflects lack of awareness, not rationalization.
D. This shows acknowledgment of poor control, not an attempt to justify behavior.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.