The educator has discussed with a nurse the protocol for the immediate availability of naloxone for a client with a patient-controlled analgesia PCA pump. Which statement made by the nurse indicates an understanding of the information?
A. "Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled analgesia (PCA) pump and increases analgesia."
B. "Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the patient-controlled analgesia (PCA) pump occurs."
C. "Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of the opioid in the patient-controlled analgesia (PCA) pump."
D. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs."
Answer: D
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The nurse working in a custodial care facility walks into a room to administer medication and finds the client having a sexually intimate encounter with another client. The nurse's best action at this time is to:
1. Make a noise to indicate that the nurse is in the room, and wait for the clients to regain composure. 2. Call Security to investigate the matter. 3. Quietly leave the room and knock on the door. 4. Notify the RN supervisor and physician.
What action performed by the nurse directly resulted from the contribution made by Linda Richards?
1. Using an antiseptic before administering an injection 2. Exploring the psychosocial needs of the patient 3. Documenting patient care in the medical record 4. Listening to a patient describe his or her condition
A child sustains a traumatic brain injury and is monitored in the pediatric intensive-care unit (PICU). The nurse is using the Glasgow Coma Scale to assess the child. Which items will the nurse assess when using this tool?
1. Eye opening 2. Verbal response 3. Motor response 4. Head circumference 5. Pulse oximetry
The school nurse is teaching a nutrition class in the local high school. One student states that he has heard that certain foods can increase the incidence of cancer. The nurse responds, “Research has shown that certain foods indeed appear to increase the risk of cancer.” Which of the following menu selections would be the best choice for potentially reducing the risks of cancer?
A) Smoked salmon and green beans
B) Pork chops and fried green tomatoes
C) Baked apricot chicken and steamed broccoli
D) Liver, onions, and steamed peas