The nursing intervention necessary after the administration of ...

[jeatrice]

The nursing intervention necessary after the administration of naloxone is to
 
  a. monitor the airway and take vital signs every 15 minutes.
  b. insert an indwelling urinary catheter.
  c. insert a nasogastric tube.
  d. treat hyperpyrexia with cooling measures.

Question 2

A client being treated for a myocardial infarction has been transferred from the intensive care unit to
  a step-down unit. She uses the call bell as often as every 15 minutes.
 
  She makes a seemingly small
  request or complains each time a staff member is summoned. Several staff tell the primary nurse that
  the client is obnoxious and that they feel inadequate because they can never seem to satisfy her
  needs. The primary nurse decides to intervene directly with the client. The most appropriate way to
  begin problem solving would be to say
  a. I am wondering if you are feeling anxious about your condition and being left
  alone..
  b. The staff are concerned that you are not satisfied with the care you are
  receiving..
  c. Let's talk about why you use your call light so frequently..
  d. I think you are giving staff a negative message..

[rleezy04]

Answer to Question 1

A
Narcotic antagonists such as naloxone quickly reverse CNS depression, but because the narcotics
have a longer span of action than antagonists, the client may lapse into unconsciousness or require
respiratory support again. Options B, C, D are measures unrelated to naloxone use.

Answer to Question 2

A
This opening conveys the nurse's willingness to listen to the client's feelings and an understanding
of the commonly seen concern about not having a nurse always nearby as in the intensive care unit.
Verbalization is an effective outlet for anxiety. Also, knowing that staff understand her anxiety and
will meet her needs without being summoned so frequently can reduce the client's anxiety level
from severe to moderate or lower.

[jeatrice]

Thank you

[rleezy04]

No problemo