Signs of fentanyl patch overdose are:.

increasing pain over several hours.

an itchy red rash on the skin.

confusion and inability to walk normally.

headache and nausea.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Increasing pain over several hours is not a typical sign of a fentanyl patch overdose. Fentanyl is a potent opioid, and overdose symptoms often involve respiratory depression, altered mental status, and other serious issues. While it is possible for a patient to experience increased pain if the fentanyl patch is not providing adequate pain relief, this is not a specific sign of overdose.
Choice B rationale:
An itchy red rash on the skin is not a sign of a fentanyl patch overdose but can be associated with skin irritation or allergies to the adhesive in the patch. It's important to differentiate between a skin reaction and an overdose when evaluating patients using fentanyl patches. Overdose symptoms are more severe and life-threatening.
Choice C rationale:
Confusion and the inability to walk normally are characteristic signs of a fentanyl patch overdose. Fentanyl is a potent opioid, and overdose can lead to central nervous system depression, resulting in confusion, altered mental status, and difficulty with coordination and walking. These symptoms are serious and require immediate medical attention.
Choice D rationale:
Headache and nausea are not specific signs of a fentanyl patch overdose. While opioid overdose can cause various symptoms, such as respiratory depression and altered mental status, headache and nausea are not among the primary indicators. However, individual responses to medications can vary, and some patients may experience these symptoms as part of a broader set of overdose signs.

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Correct Answer is D

Explanation

Choice A rationale:

Sleeping with the window open for fresh air may not be the best solution in this scenario. While fresh air can be beneficial for sleep, it might not effectively block out the noise from the freeway and the nearby apartment complex. Furthermore, depending on the climate and location, having the window open might lead to discomfort or temperature-related issues.

Choice B rationale:

Performing exercise at bedtime is not a recommended solution for someone experiencing difficulty sleeping due to external noise. Exercise before bedtime can increase alertness and make it even more challenging to fall asleep, especially if it's vigorous exercise. It may exacerbate the problem rather than alleviate it.

Choice C rationale:

Having a couple of drinks at bedtime is not a suitable solution for sleep problems. Alcohol can disrupt sleep patterns and lead to poor-quality sleep. It may help the patient fall asleep initially but can lead to frequent awakenings and a less restful night's sleep.

Choice D rationale:

The correct choice is to wear soft earplugs for sleep. Soft earplugs can effectively reduce or block out external noise, providing a quieter sleep environment. This is a practical and safe solution to address the noise issue in the patient's apartment complex. It promotes better sleep quality without any negative side effects.

A. long periods of time, but it is best to check with the primary care provider first. B. short periods of time without physician approval, because they are nonprescription medications. C. short periods of time, but it is best to check with the primary care provider first. D. long periods of time without primary care provider approval, because they are nonprescription medications.

Correct Answer is C

Explanation

Choice A rationale:

It is not advisable to use sedative pills for long periods of time without consulting a primary care provider. Prolonged use of sedatives can lead to dependence and other adverse effects. Therefore, this choice is incorrect.

Choice B rationale:

Using sedative pills for short periods of time without physician approval is not a safe practice. Even nonprescription medications, including over-the-counter sedatives, should be used under the guidance of a healthcare provider. This choice is incorrect.

Choice C rationale:

The best advice for the patient is to use sedative pills for short periods of time, but it is best to check with the primary care provider first. This is the most appropriate choice as it emphasizes short-term use while also promoting communication with a healthcare provider to ensure the medication's safety and effectiveness.

Choice D rationale:

Using sedative pills for long periods of time without primary care provider approval is not recommended. It can lead to potential risks and side effects associated with prolonged sedative use. Therefore, this choice is incorrect.

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Signs of fentanyl patch overdose are:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

Correct Answer is D

Explanation

A patient who has difficulty falling asleep at night because of anxiety over family problems asks if he should start taking sedative pills from the pharmacy to sleep better.The best advice to give this patient is that these pills can be used for:.

Correct Answer is C

Explanation

A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

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A patient experiencing pain states that guided imagery has made the pain more manageable in the past.To assist this patient, the nurse should:.

A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?

A nurse is preparing a patient for home care following cancer treatment. He is discussing the use of the fentanyl patch. Which of the following would be the most important instruction regarding safety?

A nurse assists with checking a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route.It is most important to monitor this patient for which adverse drug effects?

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:.