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 ["108"]
Explanation
The proportion of specialized nurses is 45 out of 100, or 45%.
To find how many in 240 graduates would specialize:
( 240×45)÷100=108
- Thus, 108 nurses would be expected to specialize.
Correct Answer is D
Explanation
A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider." All medications must be documented, including over-the-counter drugs, herbal supplements, and non-prescribed medications to avoid drug interactions.
B. "A nurse should write a verbal order in the medical record for medications the client was taking at home." Verbal orders should be avoided unless in an emergency, and reconciliation should be based on a review of documented prescriptions and client reports rather than nurse-written orders.
C. "Complete the reconciliation process one time only when the client is first admitted to the hospital." Medication reconciliation must be repeated at every transition of care, including admission, transfer between units, and discharge.
D. "A comprehensive list of medications is reviewed upon admission/transfer and provided for the client at the time of discharge." Medication reconciliation is a critical process to ensure continuity of care and prevent medication errors. It must be conducted at every transition of care (admission, transfer, and discharge) to compare the client’s home medications with hospital prescriptions and make adjustments as needed.
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