A nurse is caring for a client who has received an overdose of morphine. The nurse has an order to administer naloxone, an opioid antagonist. Which of the following effects should the nurse expect after giving naloxone?

Increased respiratory rate

Decreased pain level

Increased sedation

Decreased blood pressure

Answer and Explanation

The Correct Answer is A

A. Increased respiratory rate: Naloxone is an opioid antagonist that rapidly reverses the effects of opioid overdose, including respiratory depression, sedation, and hypotension. The primary goal of naloxone administration is to restore adequate breathing by increasing the respiratory rate.

B. Decreased pain level: Naloxone reverses opioid effects, which means it can bring back pain that was previously managed by morphine. The client may experience increased pain, not a decrease.

C. Increased sedation: Naloxone reverses sedation, so the client is more likely to become alert and possibly agitated, rather than more sedated.

D. Decreased blood pressure: Morphine can cause hypotension, but naloxone reverses opioid-induced effects, which may result in a rise in blood pressure rather than a decrease.

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Correct Answer is B

Explanation

The nurse should check the placement of the tube before administering any medication or fluid via an NG tube. This can prevent aspiration, infection, or injury to the client. The nurse can check the placement by aspirating gastric contents and measuring the pH, or by using a carbon dioxide detector.

Incorrect choices:

a) Flush the tube with 30 mL of water: Flushing the tube with water is correct, but it is not the next action. The nurse should flush the tube before and after administering the medication to prevent clogging and ensure delivery.

c) Clamp the tube for 30 minutes: Clamping the tube for 30 minutes is incorrect and can cause complications. The nurse should not clamp the tube unless ordered by the provider. Clamping the tube can increase the risk of reflux, aspiration, or tube displacement.

d) Elevate the head of the bed: Elevating the head of the bed is correct, but it is not the next action. The nurse should elevate the head of the bed at least 30 degrees before and during the administration of the medication to prevent aspiration and promote gastric emptying.

A. Furosemide B. Calcium gluconate C. Sodium bicarbonate D. All of the above

Correct Answer is D

Explanation

All of the medications are used to treat hyperkalemia, which is a high level of potassium in the blood. Hyperkalemia can cause cardiac arrhythmias, muscle weakness, or paralysis.

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A nurse is caring for a client who has received an overdose of morphine. The nurse has an order to administer naloxone, an opioid antagonist. Which of the following effects should the nurse expect after giving naloxone?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering medication to a client via a nasogastric (NG) tube. The nurse crushes the medication and mixes it with water. Which of the following actions should the nurse take next?

Correct Answer is B

Explanation

A nurse is reviewing a client's laboratory results and notices that the potassium level is 6.2 mEq/L. The nurse knows that this value indicates hyperkalemia. Which of the following medications should the nurse anticipate to administer?

Correct Answer is D

Explanation

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A nurse is caring for a client who has received an overdose of morphine. The nurse has an order to administer naloxone, an opioid antagonist. Which of the following effects should the nurse expect after giving naloxone?

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