A client who is dependent on opiates arrives at the ED experiencing respiratory distress. Naxolone is administered. The nurse should:
a. monitor the client closely for tachypnea.
b. prepare the client for rapid onset of abstinence syndrome.
c. prepare to administer intravenous fentanyl citrate.
d. monitor the client's blood alcohol concentration.
ANS: B
Feedback
A Incorrect: This is an unlikely response to naxolone.
B Correct: Naxolone can precipitate the abstinence syndrome in minutes in these clients.
C Incorrect: This will increase the client's respiratory distress.
D Incorrect: Although appropriate to determine if alcohol also is present in the client's system, this is not the priority nursing response.
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