A patient brought to the emergency department for oxycodone overdose has a respiratory rate of 8 and is difficult to arouse. What is the priority nursing intervention?
1. Administering activated charcoal
2. Administering an opioid agonist
3. Administering an opioid antagonist
4. Preparing for intubation and mechanical ventilation
3
Rationale 1: Administering activated charcoal is not indicated when the patient is nonresponsive.
Rationale 2: Opioid agonists are used to relieve pain. Additional medications would worsen the situation.
Rationale 3: Opioid antagonists such as naloxone (Narcan) block opioid activity.
Rationale 4: Intubation and mechanical ventilation may be necessary, but another intervention takes priority.
Global Rationale: Opioid antagonists such as naloxone (Narcan) block opioid activity. Administering activated charcoal is not indicated when the patient is nonresponsive. Opioid agonists are used to relieve pain. Additional medications would worsen the situation. Intubation and mechanical ventilation may be necessary, but another intervention takes priority.
You might also like to view...
The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration
ANS:
The role of the manager includes:
A. Interpersonal, informational, and decisional actions. B. Extroverted personality, hidden agenda, and personal gain. C. Introversion, asking questions, and inability to take action. D. Extreme prejudice, being unknowledgeable, and being uncaring.
The nurse is making a referral for the client. What should be the nurse's first consideration for this referral?
1. Factors that might prevent the client from following through with the referral. 2. Client's eligibility for the service. 3. Cost of the referral services. 4. Acceptability of the referral to the client.
The statement below is an example of which of the following? "In this study, pain is reflected as a score between 0 and 10 on the postoperative pain rating scale."
a. Associative hypothesis b. Conceptual definition c. Operational definition d. Problem statement