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 A
Explanation
The chain of infection describes how an infection spreads based on six links of transmission: Infectious Agent, Reservoirs, Portal of Exit, Modes of Transmission, Portal of Entry, and Susceptible Host1. In this case, the client’s mouth is an example of a portal of entry, which is the route by which an infectious agent enters a new host1.
Correct Answer is A
Explanation
To maintain skin integrity and decrease the risk of infection, it is important to keep the skin clean and well lubricated1. Using a moisturizer on your skin after cleaning can help to maximize lipid barriers and prevent dryness2. It is also important to avoid hot water during bathing as it can increase dryness and cause cracked skin2.
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