A postoperative patient has received an epidural infusion of morphine sulfate. The patient's respiratory rate decreases to 8 breaths per minute, and he has a decreased level of consciousness and miosis
Which medication would the nurse anticipate administering?
a. Naloxone (Narcan)
b. Acetylcysteine (Mucomyst)
c. Methylprednisolone (Medrol)
d. Physostigmine (Antilirium)
ANS: A
Narcan is an opioid antagonist and would counteract the apparent toxicity. Acetylcysteine is the antidote for acetaminophen poisoning. Methylprednisolone is an anti-inflammatory agent and would not have an effect on toxicity related to opiate overdose. Physostigmine is indicated for organophosphate poisoning.
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A patient who has been depressed for the past several months presents in the clinic stating, "I'm at the end of my rope.". Which of the following inquiries would be most effective to use for assessing suicide risk?
a. "You seem very depressed and stressed. What is that like for you? What sort of feelings are you having when you say that?" b. "Tell me more about what you mean when you say you're at the end of your rope—are you thinking about killing yourself?" c. "Tell me about your family history. Do you have relatives or ancestors who suffered from depression?" d. "Tell me about your depression and being at the end of your rope; what are you thinking and feeling?"
Providers of mental health care have the obligation to
1. demonstrate respect. 2. decrease stress levels. 3. control the interaction. 4. be truthful and cooperative.
Risk factors for esophageal cancer include which of the following? Select all that apply
a. Obesity b. Alcohol use c. Female gender d. Tobacco use e. Cancer of the lung, mouth, or throat f. Diet high in vegetables and fruits
The nurse is coaching a community group for individuals who are overweight. Which participant behavior is an example of the best exercise plan for weight loss?
a. Walking for 40 minutes 6 or 7 days/week b. Lifting weights with friends 3 times/week c. Playing soccer for an hour on the weekend d. Running for 10 to 15 minutes 3 times/week