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

Abdominal cramps

Slurred speech

Tachycardia

Diaphoresis

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Abdominal cramps are not typically associated with opioid intoxication. Choice B rationale:

Opioid intoxication can cause symptoms such as slowed or slurred speech, drowsiness, and altered mental status.

Choice C rationale:

Opioid intoxication often leads to bradycardia (slower heart rate), not tachycardia (faster heart rate).

Choice D rationale:

Diaphoresis (excessive sweating) is a symptom of opioid withdrawal, not intoxication.

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Correct Answer is B

Explanation

Choice A rationale:

Assigning an Apgar score is important, but drying the newborn and promoting warmth are immediate priorities.

Choice B rationale:

Drying the newborn and providing warmth help prevent heat loss and maintain the newborn's body temperature, which is essential for their well-being.

Choice C rationale:

Weighing the newborn is important, but maintaining their body temperature takes precedence immediately after birth.

Choice D rationale:

Placing an identification bracelet on the newborn is important for proper identification, but ensuring the newborn's immediate well-being and comfort is the priority.

A. Cluster nursing care activities. B. Hyperoxygenate the client before suctioning. C. Keep the room well lit to orient the client. D. Maintain the client's PaCO2 at 50 mm Hg.

Correct Answer is A

Explanation

Choice A rationale:

Clustering nursing care activities minimizes disruptions to the client, reduces fatigue, and allows for periods of rest in between interventions.

Choice B rationale:

Hyperoxygenating the client before suctioning helps maintain adequate oxygenation and prevents hypoxia during the suctioning procedure.

Choice C rationale:

Keeping the room well lit is not necessary for a client on mechanical ventilation and can actually disturb their rest.

Choice D rationale:

Maintaining a specific PaCO2 level might be important for some clients, but this is not a general action applicable to all mechanically ventilated clients.

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

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