Within 30 minutes of receiving the naloxone, Z.H. is starting to respond. Why do you need
to continue to observe her closely? Select all that apply.
a. Z.H. may develop pulmonary edema after receiving naloxone.
b. A common adverse effect of naloxone is the onset of atrial fibrillation.
c. The duration of action of the drugs taken may exceed that of naloxone.
d. The risk of developing diabetic ketoacidosis is high after receiving naloxone and
D50W.
e. Rapidly reversing the effects of the drug overdose will cause a rebound decline in level of
consciousness.
a, c
Naloxone has a 1?2- to 2-hour duration of action, which might be less than that of the particular
opioid involved. When the effects of naloxone are diminished, the respiratory distress and
decreased level of consciousness caused by the original drug overdose can return. Adverse effects
associated with the use of naloxone (Narcan) include alterations in blood pressure, dysrhythmias,
and pulmonary edema. Reversing the effects of the drug overdose might be associated with signs
of withdrawal, including nausea and vomiting, sweating, hypotension and hypertension, and
tachycardia.
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If a woman's menstrual cycle began on June 2, ovulation would mostly likely occur on:
a. June 10. b. June 16. c. May 19. d. May 5.
Confirmed by palpation and x-ray study, the client's right kidney is lower than the left kidney. What is the nurse's interpretation of this finding?
A. The client has a problem involving the right kidney. B. The client has a problem involving the left kidney. C. The client has both kidneys in the normal position. D. The client is at increased risk for kidney impairment.
The developmental task that a toddler between the ages of 15 to 30 months is likely to be struggling with is a sense of:
1. Trust. 2. Initiative. 3. Autonomy. 4. Intimacy.
A pregnant woman undergoing amniocentesis asks her nurse why the baby needs this fluid. What would be an accurate response from the nurse?
A) "Amniotic fluid cushions your baby to prevent injury." B) "Amniotic fluid provides fetal blood circulation." C) "Amniotic fluid supplies the food your baby needs to grow." D) "Amniotic fluid keeps the fetus from moving freely inside it to prevent injury."