A nurse is teaching a newly licensed nurse about assessing a client who received naloxone to treat opioid toxicity. The nurse should include that which of the following findings indicate the intervention is effective?

Cheyne-stokes respirations

Substernal retractions during respirations

Increased respirations

Kussmaul respirations

Answer and Explanation

The Correct Answer is C

Naloxone is an opioid antagonist used to rapidly reverse the effects of an opioid overdose, which often includes severely slowed or stopped breathing.

CheyneStokes respirations (A) and Kussmaul respirations (D) are abnormal breathing patterns that are not indicative of effective naloxone treatment.
Substernal retractions (B) indicate difficulty breathing, which would not suggest that the naloxone has been effective.
Effective naloxone intervention is typically indicated by the restoration of normal breathing patterns in a person who has experienced opioid toxicity.

A-Cheyne stokes respirations is due to conditions such as stroke, brain injury

B-Substernal retraction occur in respiratory distress due to pulmonary conditions such as pneumonia D-Kussmaul breathing is found in diabetes ketoacidosis

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Correct Answer is A

Explanation

This statement indicates that the client understands the importance of daily foot inspections to prevent complications, which is crucial for individuals with diabetes due to their increased risk of foot ulcers and infections stemming from high blood sugar levels. The client's understanding of the need for daily foot checks demonstrates a grasp of essential diabetic foot care principles.
B- It is not advisable because soaking feet can lead to skin breakdown, increasing the risk of infection.
C- It is incorrect because putting lotion between toes can cause excessive moisture, which can also lead to infections.
D- while it may seem reasonable, is not the best practice as wearing sandals can expose the feet to injuries and does not provide the necessary support and protection. Soaking the feet in water increases risk of infections

A. pH below 7.35 B. Pa02 below 70 mm Hg C. HC03 above 26 D. PaC02 above 45 mm Hg

Correct Answer is C

Explanation

Rationale- metabolic acidosis, a nurse would expect to find an arterial blood gas (ABG) result showing a pH below 7.35, indicating an acidic state. Metabolic acidosis is characterized by a decrease in bicarbonate (HCO₃), so an HCO₃ level above 26 mEq/L would not be typical for this condition. Instead, a value below the normal range (22-26 mEq/L) would be expected. PaCO₂ levels above 45 mm Hg would suggest respiratory acidosis, not metabolic acidosis.

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A nurse is teaching a newly licensed nurse about assessing a client who received naloxone to treat opioid toxicity. The nurse should include that which of the following findings indicate the intervention is effective?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?

Correct Answer is C

Explanation

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