Shortly after receiving one dose of naloxone (Narcan) for an overdose of opiates, a patient experiences a change in level of consciousness and a decreased respiratory rate. What should the nurse do first?
a. Inform the charge nurse.
b. Repeat the Narcan.
c. Notify the health care provider.
d. Update family members.
B
Narcan has a short half-life, and opiate action may resume and cause respiratory depression. Narcan may be repeated, or the nurse can request a continuous intravenous infusion of the drug.
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A 75-year old resident in the nursing home has end stage dementia and experiences a 10-pound weight loss over the course of 2 months. The resident has become increasingly difficult to feed and often spits out food, pockets food, and frequently drools. The
a. Recommend to the physician that a gastric feeding tube be placed. b. Recommend to the physician that a swallowing evaluation be done. c. Amend the care plan to include vigorous feeding by the nursing assistants. d. Assure the family that feeding issues are often a characteristic of end-stage dementia.
Which is the priority nursing diagnosis for a client who has rheumatoid arthritis during a "flare?"
A. Impaired Physical Mobility B. Disturbed Body Image C. Risk for Infection D. Acute Pain
Which of the following is considered the most important goal in nursing today?
a. Adapting to technological advances such as electronic medical records b. Demonstrating caring as the basis of nursing practice c. Distinguishing nursing care from medical care d. Seeking evidence-based outcomes to demonstrate nursing's contribution to care
Which of the following is the correct mechanism of action of didanosine (Videx)?
A. Inhibits reverse transcriptase B. Inhibits HIV protease C. Inhibits viral fusion D. None of these