A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose.
Which of the following findings should indicate to the nurse that the medication is effective?
Increased temperature.
Decreased blood pressure.
Increased respiratory rate.
Report of decreased pain.
The Correct Answer is C
Choice A rationale:
Increased temperature is not a direct indication of naloxone’s effectiveness. Naloxone works by reversing the effects of opioids, which do not typically include fever.
Choice B rationale:
While naloxone can cause an abrupt withdrawal in opioid-dependent individuals, leading to symptoms such as hypertension, it does not typically decrease blood pressure in opioid overdose cases.
Choice C rationale:
Naloxone works by reversing the life-threatening depression of the central nervous system and respiratory system caused by an opioid overdose. Therefore, an increased respiratory rate after administration would indicate that the medication is effective.
Choice D rationale:
Naloxone reverses the effects of opioids, including pain relief. Therefore, a report of decreased pain would not indicate that the medication is effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.
Choice B rationale:
Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.
Choice C rationale:
Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.
Choice D rationale:
Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.
Correct Answer is B
Explanation
Choice A rationale:
Fever is not a common side effect of acetaminophen. In fact, acetaminophen is often used to reduce fever.
Choice B rationale:
Jaundice, which is a yellowing of the skin or eyes, can be a sign of liver damage, a rare but serious side effect of acetaminophen.
Choice C rationale:
Diarrhea is not a common side effect of acetaminophen.
Choice D rationale:
Tinnitus, or ringing in the ears, is not a common side effect of acetaminophen.
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