A client receives hydromorphone 2 mg intravenously for report of postoperative pain. Fifteen minutes later, the nurse notes respirations are 6 breaths/minute and the client is nonresponsive. The nurse administers prescribed naloxone (Narcan). The next time the client reports pain, the best nursing action is:
a) Consult with the healthcare provider to reduce the dose.
b) Ensure naloxone is available.
c) Withhold the hydromorphone.
d) Administer one-half of the prescribed opioid dose.
Ans: a) Consult with the healthcare provider to reduce the dose.
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A nurse caring for a client with disseminated intravascular coagulation (DIC) is reviewing the client's diagnostic tests. Which test result is common in DIC?
A) Decreased prothrombin time B) Increased platelet count C) Decreased fibrinogen level D) Decreased partial thromboplastin time
The nurse is assisting in the placement of a pulmonary artery catheter and notes the presence of a right ventricular waveform. Which of the following should the nurse do?
1. assume that all pressure readings going forward will be inaccurate 2. call for an immediate chest x-ray 3. advance the catheter 4. immediately inform the physician
A child being treated with somatropin should be periodically monitored with:
1. a cerebral arteriogram. 2. an echocardiogram. 3. a glucose tolerance test. 4. a serum TSH.
A patient with inflammatory arthritis asks about adding an anti-inflammatory herb to the medication regimen to decrease the use of prescription drugs. The nurse suggests the patient discuss the efficacy of which herbs with the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Evening primrose 2. St. John's wort 3. Ginger 4. Ginseng 5. Bilberry