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 D
Explanation
Rationale- Peripheral edema, which is swelling typically in the arms and legs due to the accumulation of fluid, is a common finding in hypervolemia. This condition can also lead to symptoms such as bloating, rapid weight gain, and high blood pressure due to the increased fluid in the bloodstream. Hypervolemia causes the accumulation of excessive fluid in the tissues leading to edema
A,B,C- Oliguria, bradycardia, and hypotension are not typical findings associated with hypervolemia. Instead, they are features of hypovolemia
Correct Answer is C
Explanation
Rationale-Nonnutritive sugar substitute produces a sweet taste without contributing any calories. For a client with type 1 diabetes mellitus, the best recommendation for a sweetener would be a nonnutritive sugar substitute. These substitutes are considered safe and do not affect blood sugar levels, which is crucial for managing diabetes. They include aspartame, sucralose, and stevia, offer sweetness without the additional calories and carbohydrates, making them a suitable choice for individuals with diabetes. Natural honey and corn syrup, while natural, are high in carbohydrates and can cause an increase in blood sugar levels. This interferes with the titration of insulin and should be avoided.
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