The nurse administers naloxone [Narcan] to a patient who has received a toxic dose of morphine sulfate. The nurse understands that the naloxone is effective because of which action?
a. Countering the effects of morphine sulfate by agonist actions
b. Increasing the excretion of morphine sul-fate by altering serum pH
c. Preventing activation of opioid receptors through antagonist actions
d. Regulating the sensitivity of opioid re-ceptors by neurochemical alterations
C
Naloxone acts by blocking the action of opioids at opioid receptors. An opioid agonist would increase the effects of morphine. Naloxone does not affect serum pH or excretion of opioids. Na-loxone does not alter the sensitivity of opioid receptors.
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An elderly patient is brought to the emergency department with a fractured tibia. The patient appears malnourished, and the nurse is concerned about the patient's healing process related to insufficient protein levels
hat laboratory finding would the floor nurse prioritize when assessing for protein deficiency? A) Hemoglobin B) Bilirubin C) Albumin D) Cortisol
A patient with SLE has come to the clinic for a routine check-up. When auscultating the patient's apical heart rate, the nurse notes the presence of a distinct "scratching" sound. What is the nurse's most appropriate action?
A) Reposition the patient and auscultate posteriorly. B) Document the presence of S3 and monitor the patient closely. C) Inform the primary care provider that a friction rub may be present. D) Inform the primary care provider that the patient may have pneumonia.
The nurse is preparing to administer a unit of packed red blood cells to a hospitalized child. What is an appropriate action that applies to administering blood?
a. Take the vital signs every 15 minutes while blood is infusing. b. Use blood within 1 hour of its arrival from the blood bank. c. Administer the blood with 5% glucose in a piggyback setup. d. Administer the first 50 ml of blood slowly and stay with the child.
When contrasting schizophrenia and schizotypal personality disorder, which statement applies?
a. In schizotypal personality disorder, the patient remains psychotic much longer. b. The patient with schizophrenia has better social skills and is not usually overtly psychotic. c. The person with schizotypal personality disorder may have cognitive distortions but not psychosis. d. Schizotypal personality disorder is associated with more frequent and prolonged hospitalizations.