A client is admitted to the emergency department for treatment of an overdose. The client's arterial blood gas results indicate acute respiratory acidosis. Which substance found on the nurse's review of the toxicology analysis is most likely the cause for

A) Cocaine
B) Marijuana
C) Oxycodone
D) PCP


Answer: C

Oxycodone is an opiate narcotic. Excessive use or overdose of narcotic substances can lead to respiratory depression and respiratory acidosis. Cocaine is a stimulant. Marijuana is not considered as a drug that depresses the central nervous system or respiratory center. PCP is a hallucinogenic agent.

Nursing

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A patient has a reduced urine output. What situation will reduce glomerular filtration rate and hence urine output?

A) Increase in mean arterial pressure to 100 mm Hg B) Decrease in hydrostatic pressure in Bowman's capsule C) Decrease in plasma protein concentrations D) Condition resulting in afferent arteriole constriction

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A client has returned to the nursing unit after a sliding hernia repair. Which action by the nurse is most important in preventing complications?

a. Range of motion to the lower extremities b. Elevating the head of the bed to 30 de-grees c. Monitoring input and output d. Assessing for bowel sounds

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The nurse knows that the patient with DKA will need

a. subcutaneous insulin. b. IV insulin. c. subcutaneous and IV insulin. d. combination 70%/30% insulin.

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Which of the following client statements indicates that the client with hepatitis B understands discharge teaching?

a) "I will not drink alcohol for at least 1 year." b) "I must avoid sexual intercourse." c) "I should be able to resume normal activity in a week or two. d) "Because hepatitis B is a chronic disease, I know I will always be jaundiced."

Nursing