The nurse is collecting data for a client suspected of a drug overdose and notes the clients has slow breathing and decreased blood pressure. The nurse correctly documents these findings as:
Tachypnea and hypotension
Tachypnea and hypertension
Bradypnea and hypertension
Bradypnea and hypotension
The Correct Answer is D
A. Tachypnea and hypotension: Tachypnea means fast breathing, but the client has slow breathing.
B. Tachypnea and hypertension: Tachypnea (fast breathing) and hypertension (high blood pressure) do not match the client’s symptoms.
C. Bradypnea and hypertension: Bradypnea (slow breathing) is correct, but hypertension (high BP) is incorrect because the client has low BP (hypotension).
D. Bradypnea and hypotension: Bradypnea means slow breathing, and hypotension means low blood pressure, both of which match the symptoms of a drug overdose (e.g., opioid overdose).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A 5 mL slip-tip syringe: A 5 mL syringe is the best option for measuring 6.25 mL, although it may require drawing up the medication in two separate amounts (e.g., 5 mL + 1.25 mL). A larger syringe (e.g., 10 mL) would be less precise.
B. An insulin syringe – Insulin syringes measure units of insulin, not milliliters, and are not appropriate for non-insulin medications.
C. A 1 mL TB syringe – This is used for very small doses (up to 1 mL) and is not practical for 6.25 mL.
D. A 3 mL syringe – This is too small for 6.25 mL.
Correct Answer is B
Explanation
A. A 1 mL TB syringe: Tuberculin syringes lack insulin unit markings, increasing the risk of dosing errors.
B. U-50 or U-100 insulin syringe: Insulin syringes are specifically calibrated in units, ensuring accurate insulin administration.
C. A 3 mL luer lock syringe: This type is not designed for insulin; it lacks unit measurements and may lead to errors.
D. Depends upon the type of insulin: All insulins should be administered using insulin syringes (U-50 or U-100), not different syringe types.
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