A man 20 years of age arrives at the emergency department by ambulance. He is unconscious, with slow respirations and pinpoint pupils. There are "tracks" visible on his arms

The friend who came with him reports that the client had just "shot up" heroin when he became unconscious. Which medication would the nurse most likely expect to administer?

A) Naloxone
B) Naltrexone
C) Bupropion
D) Varenicline


Ans: A
Naloxone, an opioid antagonist, is given to reverse respiratory depression, sedation, and hypertension. Naltrexone is used to treat alcohol dependence. Bupropion and varenicline are used to promote smoking cessation.

Nursing

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The nurse is designing a program for pregnant adolescents in the community. The program will focus on fetal development, appropriate nutrition, developing social support systems, and screening for potential abuse by partners or others. This is an example

1. Community-driven care. 2. Community-focused care. 3. Community-based nursing. 4. Population health nursing.

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The client receives H2-receptor antagonists for treatment of peptic ulcer disease (PUD). Based on the nursing diagnosis risk for bleeding, which assessment finding would the nurse plan to report immediately to the physician?

1. The client reports pain after 24 hours of treatment. 2. The client reports episodes of melana. 3. The client reports he took Tums with his H2-receptor antagonist. 4. The client reports he is constipated.

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A patient diagnosed with a diffuse brain injury (DBI) is at increased risk for which complication?

a. Complete loss of vision b. Arrhythmia c. Acute brain swelling d. Meningitis infection

Nursing

The team is providing emergency care to a client who received an excessive dose of narcotic pain medication. Which task is best to delegate to the LPN/LVN?

a) Calling the physician and reporting the situation using the SBAR (situation, background, assessment, recommendation) format b) Giving the ordered dose of Narcan and evaluating the response to therapy c) Monitoring the respiratory status for the first 30 minutes d) Applying oxygen per nasal cannula as ordered

Nursing