A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?

Tachycardia

Sedation

Dilated pupils

Tachypnea

Answer and Explanation

The Correct Answer is B

A. Tachycardia: Bradycardia, rather than tachycardia, is more typical of opioid toxicity.
B. Sedation: Oxycodone toxicity causes CNS depression, resulting in sedation, respiratory depression, and pinpoint pupils.
C. Dilated pupils: Pinpoint pupils are a classic sign of opioid toxicity.
D. Tachypnea: Respiratory depression, rather than tachypnea, is expected in opioid toxicity.

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Correct Answer is A

Explanation

A. Withdraw the NPH insulin last: When mixing insulin, the regular (clear) insulin should be drawn into the syringe first, followed by the NPH (cloudy) insulin to avoid contaminating the regular insulin.
B. Mix the medications in a 3-mL syringe: While mixing is correct, the syringe size is not specifically relevant unless the total dose exceeds the syringe capacity. A standard insulin syringe should be used.
C. Administer the medications in two separate syringes: This is unnecessary when mixing regular and NPH insulin is appropriate.
D. Inject air into the regular vial first: Air should be injected into the NPH vial first, then the regular vial.

A. Administer naloxone. B. Monitor amylase and lipase. C. Obtain a chest x-ray. D. Give acetylcysteine.

Correct Answer is D

Explanation

A. Administer naloxone: Naloxone is used for opioid overdoses, not acetaminophen.
B. Monitor amylase and lipase: This is not necessary for acetaminophen overdose.
C. Obtain a chest x-ray: This is unnecessary unless there is suspicion of aspiration or trauma.
D. Give acetylcysteine: Acetylcysteine is the antidote for acetaminophen overdose and helps prevent liver damage.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer regular and NPH insulin to a client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?

Correct Answer is D

Explanation

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