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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

Administering an IV fluid bolus can help increase blood volume and thus increase blood pressure, which can alleviate symptoms of dizziness and lightheadedness. This is a common side effect of ramipril, especially after the first dose.

Choice B rationale:

Naloxone is an opioid antagonist and is not relevant in this context. It’s used to reverse the effects of opioid overdose, not to treat symptoms associated with antihypertensive medications.

Choice C rationale:

Diphenhydramine is an antihistamine used to treat allergic reactions or insomnia, not symptoms associated with antihypertensive medications.

Choice D rationale:

Administering 15 g of carbohydrates would be appropriate for a hypoglycemic patient, not for a patient experiencing dizziness and lightheadedness due to antihypertensive medication.

A. Atenolol. B. Lorazepam. C. Disulfiram. D. Carbamazepine.

Correct Answer is C

Explanation

Choice A rationale:

Atenolol is a beta-blocker used to treat high blood pressure and heart-related conditions. It’s not used in the treatment of alcohol use disorder.

Choice B rationale:

Lorazepam is a benzodiazepine used to treat anxiety disorders. It can be used in the acute management of alcohol withdrawal, but it doesn’t assist in maintaining abstinence.

Choice C rationale:

Disulfiram is a medication used to support the treatment of chronic alcoholism by producing an acute sensitivity to ethanol (drinking alcohol) If alcohol is consumed when a patient has received disulfiram treatment, they suffer from a disulfiram-alcohol reaction, which can include symptoms like flushing, nausea, vomiting, and headaches. This aversive effect aids in discouraging the consumption of alcohol.

Choice D rationale:

Carbamazepine is an anticonvulsant and mood stabilizer medication used primarily in the treatment of epilepsy and bipolar disorder, not for alcohol use disorder.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering the first dose of ramipril to a client who has hypertension.The client reports feeling dizzy and lightheaded.Which of the following should the nurse administer?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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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?