A nurse is assessing a client who has opioid toxicity. Which of the following findings should the nurse expect?
Heart rate 112/min
Blood pressure 168/90 mm Hg
Respiratory rate 10/min
Temperature 38.2°C (100.8°F)
The Correct Answer is C
Opioid toxicity can cause difficulties with breathing and an opioid overdose can lead to death1. A respiratory rate of 10/min is considered low and could be a sign of opioid toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
When taking an electronic blood pressure measurement, it is important to properly position the cuff on the client’s arm. The artery indicator on the blood pressure cuff should be aligned with the client’s brachial artery1. It is also important to select a cuff that fits properly and to have the client sit comfortably with their back supported and feet flat on the ground2.
Correct Answer is C
Explanation
When setting up a sterile field, it is important to inspect the sterile package for holes before opening it to ensure that the contents are still sterile1. The first flap of the package should be opened away from the body
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