A nurse is preparing to administer naloxone IV bolus to a client who has opioid use disorder and has developed acute opioid toxicity. Which of the following actions should the nurse take?
Check the client's vital signs every 15 min.
Give the naloxone slowly for 15 seconds.
Expect the onset of naloxone to occur in 15 min.
Anticipate the effects of naloxone to last for 24 hr.
The Correct Answer is A
A. Vital signs should be monitored every 15 minutes because naloxone has a short duration and the client may experience opioid re-sedation as the antagonist wears off.
B. Naloxone should be administered over 2 minutes, not 15 seconds, to reduce abrupt opioid withdrawal symptoms.
C. Naloxone has a rapid onset (1-2 minutes IV, 2-5 minutes IM).
D. The effects of naloxone last only 30-90 minutes, requiring repeated doses if opioids are still in the system.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Almonds – While nut allergies exist, they are not strongly associated with latex allergies.
B. Bananas – Correct. Latex-fruit syndrome is a known cross-reactivity between latex and certain fruits, including bananas, avocados, kiwis, and chestnuts. These foods contain proteins similar to latex, which can trigger allergic reactions.
C. Strawberries – Strawberries are not commonly linked to latex allergies.
D. Hazelnuts – While hazelnuts can cause allergic reactions, they are not a known cross-reactive food with latex.
Correct Answer is C
Explanation
A. Data comparison should be done after establishing the standards and collecting data.
B. While data collection is important, the first step is to determine what the accepted hand hygiene standards are.
C. This is the correct answer. The first step in an audit process is to determine the accepted hand hygiene standards to provide a basis for evaluation.
D. Corrective measures should only be taken after data has been collected and analyzed.
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