A nurse is teaching a newly licensed nurse about administering naloxone to treat a client who is experiencing opioid toxicity. Which of the following information should the nurse include in the teaching?
"Administer naloxone orally."
"Naloxone is contraindicated for clients who have glaucoma.
"Monitor the client for ventricular arrhythmia after administration.
"Naloxone should be administered every 1 to 2 hours."
The Correct Answer is C
C. After naloxone administration, the nurse should monitor for signs of opioid withdrawal and arrhythmias and potentially administer additional doses based on clinical response.
A Naloxone is not effective when administered orally due to poor bioavailability. It should be given intravenously (IV), intramuscularly (IM), subcutaneously (SC), or intranasally (IN).
B. Naloxone does not have a contraindication for clients with glaucoma. It primarily acts on opioid receptors and does not affect intraocular pressure.
D. Naloxone has a relatively short duration of action compared to many opioids it antagonizes. However, the need for repeat doses should be based on the clinical response of the client rather than a fixed time interval.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A Anaphylaxis is a severe allergic reaction that can occur rapidly after administration of ceftriaxone or other antibiotics. It may involve symptoms such as hypotension, difficulty breathing, swelling of the face or throat, and hives. Hypotension in this context is a serious sign of an allergic reaction and requires immediate intervention.
B. Polyuria can be caused by other factors such as diuretic medications, diabetes mellitus, or other metabolic conditions. It is not a common manifestation of an allergic reaction to ceftriaxone.
C. Nausea is a common side effect of many antibiotics, including ceftriaxone, due to gastrointestinal irritation. It does not typically indicate an allergic reaction unless it is accompanied by other symptoms such as rash, itching, or respiratory distress.
D. Bradycardia can occur due to other reasons such as medication side effects (e.g., beta-blockers), vagal stimulation, or underlying cardiac conditions. It is not a characteristic sign of an allergic reaction to ceftriaxone.
Correct Answer is C
Explanation
C. Diarrhea is one of the most common adverse effects of clindamycin. It can range from mild to severe and may be accompanied by abdominal cramping, bloating, and occasionally fever. This occurs due to the disruption of the normal gut flora by clindamycin, leading to overgrowth of Clostridium difficile or other bacteria.
A. Clindamycin primarily affects the gastrointestinal tract and can cause gastrointestinal disturbances rather than cardiovascular effects like hypertension.
B. While agitation is a possible adverse effect of medications, including antibiotics, it is not commonly associated with clindamycin. Clindamycin does not typically affect the central nervous system to cause agitation.
D. Blurred vision is not a typical adverse effect of clindamycin. It is important to assess this symptom further, as it may indicate another underlying condition or medication effect that needs evaluation.
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