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)

Answer and Explanation

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.

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Correct Answer is C

Explanation

A high white blood cell (WBC) count usually indicates an increase in the production of white blood cells to fight an infection

A. Check the client’s heart rate for 30 seconds. B. Palpate the client’s pulse at the third intercostal space. C. Ask the client to perform the Valsalva maneuver. D. Auscultate the client’s apical pulse.

Correct Answer is D

Explanation

When caring for a client who has an irregular heart rate, the nurse should auscultate the client’s apical pulse to accurately assess their heart rate1. An electrocardiogram (ECG or EKG) may also be used to measure the timing and duration of each electrical phase in the heartbeat

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A nurse is assessing a client who has opioid toxicity. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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