The nurse in the Emergency Department (ED) assesses a 17-year-old client exhibiting symptoms of opiate intoxication. Which of the following should be the nurse's priority action?

Open the crash cart.

Administer oxygen via nonrebreather.

Administer naloxone.

Contact the parents.

Answer and Explanation

The Correct Answer is C

C. Administering naloxone is often the priority action for a client exhibiting symptoms of opiate intoxication, especially if they are experiencing significant respiratory depression or unconsciousness. Naloxone is a medication used to rapidly reverse the effects of opioids, including respiratory depression and sedation.
A. Opening the crash cart is not the priority action for a client exhibiting symptoms of opiate intoxication unless the client's condition deteriorates rapidly, leading to a life-threatening emergency such as respiratory depression or cardiac arrest.
B. This intervention is important for clients experiencing respiratory depression, hypoxemia, or altered mental status due to opiate overdose. However, it may not be the highest priority action if the client's respiratory status is stable
D. Contacting the client's parents or guardians is important for obtaining medical history, consent for treatment (if applicable), and support. However, it may not be the highest priority action in the immediate management of opiate intoxication.

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Correct Answer is A

Explanation

A. Neglect occurs when a caregiver fails to provide for a child's basic needs, such as food, shelter, clothing, medical care, education, or emotional support. In this scenario, the child's statement about not eating for days and feeling worried because their parents are away suggests a lack of provision for basic needs, indicating possible neglect.
B. Sexual abuse involves inappropriate sexual behavior or contact imposed upon a child by an adult or older child. There is no indication of sexual abuse in the child's statement about not eating for days and feeling worried because their parents are away.
C. Financial abuse typically involves the misuse or withholding of a child's financial resources by a caregiver. While financial abuse can manifest in various forms, such as stealing a child's money or preventing access to resources, there is no direct mention of financial abuse in the child's statement.
D. Bullying involves repeated aggressive behavior intended to intimidate, harm, or exert control over another individual. There is no indication of bullying in the child's statement to the school nurse.

A. strong positive feelings lead to underinvolvement with the victim. B. awareness protects one's own mental health. C. strong negative feelings interfere with assessment and judgment. D. positive feelings promote the development of sympathy for clients.

Correct Answer is C

Explanation

C. This awareness is crucial because personal emotions can cloud professional judgment, leading to bias in assessing the situation and making decisions. It's important for healthcare professionals to maintain a level of emotional detachment in order to provide the most objective and effective care.
A. Positive feelings alone are not likely to lead to underinvolvement. Instead, the risk lies more in becoming overly empathetic or emotionally attached, which could cloud judgment or compromise professional objectivity.
B. Recognizing and acknowledging one's own feelings while working with families experiencing domestic violence can help prevent emotional burnout and maintain mental well-being. However, this does not relate directly to domestic violence.
D. Experiencing only positive feelings without acknowledging the complexities and challenges of the situation may hinder the nurse's ability to provide comprehensive care and support to the victim.

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The nurse in the Emergency Department (ED) assesses a 17-year-old client exhibiting symptoms of opiate intoxication. Which of the following should be the nurse's priority action?

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Naxlex Comprehensive Predictor Exams

While talking to the school nurse, a child in third grade states, "My parents are away and I have not eaten for days. I am worried that my parents forgot about me and my little brother." The nurse would suspect what type of abuse?

Correct Answer is A

Explanation

The rationale for the nurse needing to be aware of their own feelings while working with the family experiencing domestic violence is best explained as:

Correct Answer is C

Explanation

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