A nurse is collecting data from a client who has taken an overdose of oxycodone.
Which of the following findings should the nurse expect?

Dilated pupils.

Tachypnea.

Tachycardia.

Sedation.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Oxycodone overdose typically results in constricted (not dilated) pupils due to its action on the central nervous system.

Choice B rationale:

Oxycodone overdose can cause respiratory depression, leading to slow and shallow breathing (bradypnea), not rapid breathing (tachypnea)

Choice C rationale:

Oxycodone does not typically cause tachycardia. It can cause bradycardia due to its action on the central nervous system.

Choice D rationale:

Sedation is a common effect of oxycodone and can be more pronounced in cases of overdose due to the drug’s depressant effect on the central nervous system.

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Correct Answer is B

Explanation

Choice A rationale:

Asking the client to demonstrate dose delivery can be part of patient education and helps ensure that the client understands how to use the PCA device. This action does not require intervention.

Choice B rationale:

The nurse administering a PCA dose for the client requires intervention. PCA stands for “Patient-Controlled Analgesia,” meaning that only the patient should administer doses to themselves. This prevents overdosing and ensures that pain medication is administered according to the patient’s needs.

Choice C rationale:

Reassuring the client that the PCA device will not cause an overdose is appropriate because PCA devices are designed with safety measures to prevent overdosing.

Choice D rationale:

Monitoring for oversedation is an important part of care for a client using a PCA device. This action does not require intervention.

A. "We should be sure that he eats a lot of protein with each meal.” B. "We should watch for an increase in unusual movements.” C. "This medication will prevent the disease from progressing.” D. "This medication should result in a rapid improvement in his condition.”

Correct Answer is B

Explanation

Choice A rationale:

While it’s important for the client to maintain a balanced diet, consuming a lot of protein with each meal does not specifically benefit a person taking levodopa/carbidopa for Parkinson’s disease.

Choice B rationale:

Levodopa/carbidopa can cause side effects such as uncontrolled muscle movements in the face, arms, legs, or trunk. Therefore, monitoring for an increase in unusual movements is a sign of understanding the potential side effects of the medication.

Choice C rationale:

Levodopa/carbidopa helps manage the symptoms of Parkinson’s disease but does not prevent the disease from progressing.

Choice D rationale:

While levodopa/carbidopa can help reduce symptoms such as stiffness and tremors, it does not typically result in a rapid improvement in condition.

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A nurse is collecting data from a client who has taken an overdose of oxycodone.Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device.Which of the following actions by the nurse requires intervention by the charge nurse?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A nurse is collecting data from a client who has taken an overdose of oxycodone.
Which of the following findings should the nurse expect?