A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the highest priority?
a. Cardiovascular
b. Respiratory
c. Neurologic
d. Hepatic
ANS: B
Opioid overdose causes respiratory depression. Respiratory depression is the primary cause of death among opioid abusers. The assessment of the other body systems is relevant but not the priority. See relationship to audience response question.
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A client admitted for injuries sustained in a motor vehicle crash states to the nurse, "I was hurt much worse the last time I crashed the car." Which action by the nurse is appropriate to assist this client?
A) Report the client to the department of motor vehicles. B) Find out what caused today's car accident. C) Ask if he enjoys crashing his cars. D) Suggest attending a driver's safety course to learn how to avoid crashes.
In preparing a client for urine collection in the evaluation of urinary ketosteroids, the nurse would
a. place an indwelling catheter. b. place a preservative in the collection bottle. c. measure hourly urine outputs. d. use a new collection bag.
A patient is scheduled to have a magnetic resonance imaging scan (MRI). What information is most important for the nurse to obtain before the procedure?
1. whether the patient is wearing any metal 2. when the patient last ate or drank 3. whether the patient is allergic to shellfish 4. whether the patient has any loose teeth
A nurse is educating a group of nursing on the deontological model of ethical reasoning. The nurse determines that the teaching has been effective when a student states:
a. "All life is worthy of respect.". b. "Abortions are ethical.". c. "Euthanasia is acceptable in certain situa-tions.". d. "Lying is acceptable if it benefits the pa-tient.".