A patient is brought to the clinic by a spouse because of increased somnolence and disorientation. The spouse tells the primary care NP that the patient has been taking oxycodone for postoperative pain
The NP notes a respiratory rate of 8 to 10 breaths per minute. The NP should: a. activate the emergency medical service (EMS) and administer oxygen.
b. administer oral methadone (Dolophine).
c. administer intramuscular naltrexone (ReVia).
d. administer sublingual buprenorphine (Subutex).
C
The patient shows signs of opiate toxicity. Naltrexone is given to reverse the respiratory depression caused by opiate toxicity. The NP would activate EMS if the patient's symptoms worsen. Methadone is used to assist patients addicted to narcotics to withdraw from the drug. Buprenorphine is used to aid with withdrawal symptoms.
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The family of a client diagnosed with schizophrenia describes her behavior over the last few days as being very docile and non-confrontational
When asked to go and change her shoes to go shopping, she goes to change them, but a when a family member checks on her several minutes later, she appears to be lost in thought. This phase of schizophrenia is the ________ phase. a. Residual b. Prodromal c. Prespsychotic d. Acute
Physiologic changes of pregnancy can mask the severity of battering because
a. internal bleeding due to trauma may go undetected b. a woman's pain tolerance increases during pregnancy c. assault to the abdomen rarely causes vaginal bleeding d. increased plasma maintains the blood pressure at normal levels
The nurse working in a neonatal ICU is caring for a critically ill client
The parent calls the nurse and asks if it would be possible to bring the infant's 2-year-old sibling to visit because the sibling is having nightmares about the client's death. Small children are not permitted to visit because of the risk of infection to the infants. The professional nurse would: 1. Tell the parent that visiting is not permitted. 2. Offer to make counseling available to the sibling. 3. Seek permission from the unit manager and physician to allow the sibling to visit. 4. Tell the parent to bring the sibling in to visit.
A nurse is counseling a client who is considering having genetic testing completed to determine whether she is a carrier of the gene linked to Huntington's disease. What is the first step the nurse would take when assessing this client?
a. Assess vital signs. b. Assess family history of this disorder. c. Assess client's past medical history. d. Assess current medications.