A nurse is teaching a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching?

A. Increased respiratory rate: Naloxone is an opioid antagonist that rapidly reverses the effects of opioid overdose, including respiratory depression, sedation, and hypotension. The primary goal of naloxone administration is to restore adequate breathing by increasing the respiratory rate.

B. Decreased pain level:Naloxone reverses opioid effects, which means it can bring back pain that was previously managed by morphine. The client may experience increased pain, not a decrease.

C. Increased sedation:Naloxone reverses sedation, so the client is more likely to become alert and possibly agitated, rather than more sedated.

D. Decreased blood pressure: Morphine can cause hypotension, but naloxone reverses opioid-induced effects, which may result in a rise in blood pressure rather than a decrease.

The first step in managing a missed or delayed medication is to check if another nurse has given or withheld the medication for some reason. This can prevent duplicate or omitted doses and ensure continuity of care. The nurse should also check if there are any contraindications or changes in orders for giving the medication.

Incorrect choices:

b) Give the medication as soon as possible: Giving the medication as soon as possible may be appropriate, but it is not the first action. The nurse should verify if another nurse has given or withheld the medication before administering it.

c) Document why the medication was delayed: Documenting why the medication was delayed is important, but it is not the first action. The nurse should verify if another nurse has given or withheld the medication and give it if indicated before documenting.

d) Report the incident to the charge nurse: Reporting the incident to the charge nurse may be necessary, but it is not the first action. The nurse should verify if another nurse has given or withheld the medication and give it if indicated before reporting.