The client has taken an overdose of an opioid. The nurse knows the client must be carefully observed for which effect on respirations?
Hyperventilation
Eupnea
Bradypnea
Hyperpnea
The Correct Answer is C
A. Hyperventilation. Opioid overdose depresses the central nervous system, leading to slow and shallow breathing, not increased respiratory rate (hyperventilation).
B. Eupnea. Eupnea refers to normal breathing, which is unlikely in opioid overdose because opioids suppress respiratory drive.
C. Bradypnea. Opioids act on the brainstem's respiratory centers, leading to respiratory depression, characterized by slow breathing (bradypnea) and, in severe cases, respiratory arrest. This is the most life-threatening effect requiring immediate intervention.
D. Hyperpnea. Hyperpnea refers to deep breathing, which is not a typical response to opioid overdose. Instead, breathing becomes slow and shallow, increasing the risk of hypoxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 4+. A 4+ pulse is bounding and strong, often seen in conditions like fever, anemia, or fluid overload. This does not match the description of a weak pulse.
B. 3+. A 3+ pulse is stronger than normal but not bounding. This is not considered weak.
C. 2+. A 2+ pulse is normal and easily palpable, which does not indicate the weakened pulse described in the patient.
D. 1+. A 1+ pulse is weak and thready, meaning it is difficult to palpate and easily disappears with slight pressure. This grading is appropriate for a hypotensive patient with poor perfusion.
Correct Answer is ["A","B","C"]
Explanation
A. Pulse of smooth contour with 2+ amplitude. A normal pulse should have a smooth upstroke and downstroke with a moderate (2+) amplitude, indicating adequate blood flow and cardiac function.
B. Heart rate of 62 beats/min. A normal resting heart rate for a healthy adult range from 60 to 100 beats per minute. A heart rate of 62 bpm is within this normal range.
C. S1 and S2 present with regular rhythm. The first (S1) and second (S2) heart sounds should be audible and regular, indicating normal closure of the heart valves and a steady cardiac rhythm.
D. Mild, pedal edema. Pedal edema is not a normal finding in a healthy adult and may indicate fluid retention or cardiovascular issues such as heart failure or venous insufficiency.
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