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 D

Naloxone is a medication that can reverse the effects of opioids, such as morphine. One of the main effects of opioids is respiratory depression, which can be life-threatening. Naloxone can increase the respiratory rate by blocking opioid receptors in the brain and restoring normal breathing.

Incorrect choices:

b) Decreased pain level: Naloxone can decrease pain level by reversing opioid analgesia, but this is not the expected effect. The nurse should monitor for increased pain levels and administer non-opioid analgesics as ordered.

c) Increased sedation: Naloxone can decrease sedation by reversing opioid-induced central nervous system depression, but this is not the expected effect. The nurse should monitor for agitation or withdrawal symptoms and provide comfort measures as needed.

d) Decreased blood pressure: Naloxone can increase blood pressure by reversing opioid-induced hypotension, but this is not the expected effect. The nurse should monitor for hypertension or tachycardia and administer antihypertensives as ordered.

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Correct Answer is D

Explanation

All of the instructions are correct and important for a client who is taking digoxin. Digoxin is a cardiac glycoside that can improve the contractility and rhythm of the heart. However, it can also cause serious side effects, such as bradycardia, arrhythmias, or toxicity.

A. Administer vitamin K B. Notify the provider C. Hold the next dose of warfarin D. Assess for signs of bleeding

Correct Answer is D

Explanation

A high INR indicates that the client is at risk of bleeding due to excessive anticoagulation. The nurse should first assess for signs of bleeding, such as bruising, petechiae, hematuria, or melena.

Then, the nurse should notify the provider and follow orders to reverse the anticoagulation effect, such as administering vitamin K or fresh frozen plasma.

Holding the next dose of warfarin may be appropriate, but it is not the priority action.

Incorrect choices:

a) Administer vitamin K: Vitamin K is an antidote for warfarin overdose, but it should not be given without a provider's order. It may also take several hours to reverse the anticoagulation effect.

b) Notify the provider: Notifying the provider is an important step, but it is not the first action. The nurse should assess the client's condition before calling the provider.

c) Hold the next dose of warfarin: Holding the next dose of warfarin may prevent further anticoagulation, but it does not address the current risk of bleeding. The nurse should assess and intervene for bleeding before holding the medication.

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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 teaching a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has been prescribed warfarin for atrial fibrillation. The nurse notices that the client's INR is 6.5. What should the nurse do first?

Correct Answer is D

Explanation

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?

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?

A nurse is reviewing a client's medication administration record (MAR). The nurse notices that a medication that was due at 0900 has not been given. It is now 1030. What should the nurse do first?

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