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A nurse is planning to administer butorphanol to a client Who is in labor. Which of the following medications should the nurse plan to have available to reverse the action of this medication?

Naloxone

Diphenhydramine

Protamine

Atropine

Answer and Explanation

The Correct Answer is A

Butorphanol is a synthetic opioid which can cause respiratory depression. Antidote for opioid is naloxone

B-Diphenhydramine is used to manage allergic reactions C-Protamine is an antidote for heparin

D-Atropine is an anticholinergic agent used in organophosphate poisoning

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Correct Answer is B

Explanation

Sim’s position places the lower gastrointestinal tract in the anatomical position allowing for the client's comfort as well as retention of the suppository once inserted. is the most appropriate position for the insertion of a rectal suppository. The client lies on the left lateral side with the lower arm positioned behind the body, and the upper thigh flexed.

A. Call the prescribing physician and inform her of the client's serum potassium level results. B. Omit the KCL dose and document it was not given. C. Call the lab to verify the client's results. D. Give the ordered KCL as prescribed.

Correct Answer is A

Explanation

potassium level of 5.2 mEq/L is above the normal range (3.5-5.0 mEq/L), indicating hyperkalemia. Giving potassium chloride (KCL) to a client with hyperkalemia can exacerbate the condition and lead to life- threatening cardiac arrhythmias. It is crucial to notify the physician promptly so that appropriate action can be taken, such as adjusting the dosage of potassium supplementation or discontinuing it altogether.
B. Omitting the KCL dose without consulting the physician is not appropriate as further instructions are needed.
C. Calling the lab to verify the client's results is unnecessary since the nurse already has the laboratory results. The focus should be on informing ensuring client safety.
D. Giving the ordered KCL as prescribed is not appropriate as administering potassium in the presence of hyperkalemia can be dangerous and should be avoided until further guidance is obtained from the physician.

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A nurse is planning to administer butorphanol to a client Who is in labor. Which of the following medications should the nurse plan to have available to reverse the action of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

Correct Answer is B

Explanation

A nurse is caring for a client Who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/I— Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?

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A nurse is evaluating teaching on a client Who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

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