A patient develops a respiratory rate 6 breaths/min after receiving IV hydromorphone (Dilaudid) 2.0 mg. Which medication should the nurse anticipate administering to this patient after notifying the prescriber of this side effect?
a. Physostigmine (Antilirium)
b. Flumazenil (Romazicon)
c. Naloxone (Narcan)
d. Protamine sulfate
C
The nurse should anticipate administering naloxone to reverse the respiratory depression associated with opioid use. Flumazenil reverses the central nervous system depressant effects of benzodiazepines. Physostigmine reverses the effects of anticholinergic drugs. Protamine sulfate is the antidote for heparin.
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The nurse is teaching new parents about behavior cues that indicate their infant has had enough stimulation. Which cues should the nurse include in the teaching session?
a. The infant kicks his legs. b. The infant is quiet and alert. c. The infant splays his fingers. d. The infant looks at their faces.
Which of the following actions must the nurse take when confirming the diagnosis before final decisions are made?
a. Ensuring that it is a diagnosis used in the Omaha diagnosis system b. Checking to see whether the diagnosis is reimbursable c. Prioritizing the diagnosis within the agency's mission d. Validating the diagnosis/conclusion with the community or client
A patient with blindness related to conversion (functional neurological) disorder says, "All the doctors and nurses in the hospital stop by often to check on me. Too bad people outside the hospital don't find me as interesting."
Which nursing diagnosis is most relevant? a. Social isolation b. Chronic low self-esteem c. Interrupted family processes d. Ineffective health maintenance
A diagnosis of ________ is made after two blood pressure readings greater than 140/90 mm Hg on separate occasions.
Fill in the blank(s) with the appropriate word(s).