A nurse cares for a patient who experienced an opioid overdose. Which focused assessment has the highest priority?
a. Cardiovascular
b. Respiratory
c. Neurologic
d. Hepatic
B
Opioid overdose causes respiratory depression, which is the primary cause of death among opioid abusers. The assessment of the other body systems is not the priority.
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The nurse is preparing a preoperative plan of care for an older Hispanic patient who is scheduled for a hysterectomy. What does the nurse recognize as the priority initial intervention?
1. Teach the patient about turning, coughing, and deep breathing. 2. Discuss the patient's concerns about the surgery. 3. Explain that the patient's pain will be controlled during the postoperative time frame. 4. Determine if the patient understands English or if an interpreter is needed.
A client presents with a pressure ulcer that the nurse is documenting in the medical record. The nurse notes necrotic tissue on the pressure ulcer, which indicates that:
1. The pressure ulcer is automatically a stage IV 2. The pressure ulcer cannot be staged 3. The client has been abused 4. The pressure ulcer is healing
What type of diarrhea is a result of lactase deficiency?
a. Motility b. Osmotic c. Secretory d. Small-volume
An infant of a diabetic mother (IDM) weighing 11 lb is prescribed to receive an infusion of dextrose 10% and water at the rate of 5 mg/kg/min until blood glucose level remains about 45 mg/dL. How many milligrams of dextrose will the infant receive in 30 minutes? (Calculate to the nearest whole number.)
What will be an ideal response?