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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale-Blood is considered an isotonic solution because its solute concentration is similar to that of the cells in the body, allowing for free movement of water across cell membranes without causing a net influx or efflux of water. This isotonic nature is crucial for maintaining cell integrity and function.
Isotonic solutions have the same osmotic pressure as body’s plasma
B-Hypertonic solution like 3% saline have higher osmotic pressure compared to plasma. This type of solutions draw water from the cells causing shrinkage
D-Hypotonic solution like 0.45% saline have lower osmotic pressure as compared to plasma. They cause swelling of cells with eventual damage
Correct Answer is B
Explanation
Oliguria: This refers to reduced urine production, which is a common symptom of hypovolemia due to decreased blood flow to the kidneys.
A-Hypotension: Although not listed in the options provided, hypovolemia typically leads to low blood pressure, not hypertension.
- Tachycardia: Again, not listed, but an increased heart rate is a more likely finding in hypovolemia rather than bradycardia, as the body attempts to maintain adequate blood flow.
- Absence of Peripheral Edema: Peripheral edema is usually associated with conditions of fluid overload, such as heart failure, rather than hypovolemia.
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