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

Answer and Explanation

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).

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Correct Answer is D

Explanation

A. Glucose of 6.7 mg/dL: Critically low; however, this is an unrealistic value because normal fasting glucose is 70-100 mg/dL. This might be a typo—if it were 6.7 mmol/L, it would be within the normal range.

B. WBC of 7000/mm³: Normal range (4,000-11,000/mm³), so no immediate concern.

C. Platelet count of 160,000/mm³: Normal range (150,000-400,000/mm³), so no immediate concern.

D. Hemoglobin of 6.2 g/dL: Normal hemoglobin levels are 13.5-17.5 g/dL (males) and 12-15.5 g/dL (females). A hemoglobin of 6.2 g/dL is critically low, indicating severe anemia, blood loss, or bone marrow suppression, which may require blood transfusion or further investigation.

A. “Most allergic responses include hives or a rash." B. “Common allergic reactions made fever and diarrhea.” C. “You might feel cold and sweaty of you are having an allergic reaction.” D. “Nausea and vomiting usually mean you are allergic to the medication.”

Correct Answer is A

Explanation

A. "Most allergic responses include hives or a rash.": Allergic reactions often present with hives (urticaria), rash, itching, and sometimes anaphylaxis. Severe reactions can cause airway swelling, difficulty breathing, and hypotension.

B. "Common allergic reactions may include fever and diarrhea." Fever and diarrhea are more typical of infections, not allergic reactions.

C. "You might feel cold and sweaty if you are having an allergic reaction." Cold, clammy skin may indicate shock, but it is not specific to allergies.

D. "Nausea and vomiting usually mean you are allergic to the medication." GI symptoms may indicate intolerance but not necessarily an allergy.

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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:

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