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Author Question: A client arrives unconscious in the emergency department in respiratory depression from an unknown ... (Read 92 times)

jenna1

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A client arrives unconscious in the emergency department in respiratory depression from an unknown drug overdose.
 
  To help diagnose the overdose, the client is given small doses of naloxone (Narcan). What is the purpose of this action?
  1. To help wake up the client to obtain the name of the drug
  2. To help diagnosis if the overdose was an opioid drug
  3. To prevent vomiting while the client is unconscious
  4. To reduce the psychoactive effects of the drug overdose

Question 2

An adult client with a history of migraine headaches tells the nurse that in the past six months, she has needed to use her medication to abort headaches on the average of 5 to 6 times a month, despite avoiding her migraine triggers.
 
  The nurse explains that the next step in her therapy might be to take which action?
  1. Review her migraine triggers and look for new ones.
  2. Try a different drug to abort the headaches.
  3. Try a drug to prevent the headaches.
  4. Take a drug holiday to clear out her system.



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Jevvish

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Answer to Question 1

Correct Answer: 2
Rationale 1: Naloxone is not given to induce consciousness.
Rationale 2: If the drug was opioid in nature, naloxone will quickly reverse the respiratory depression, helping with identification of the drug.
Rationale 3: Naloxone does not prevent nausea or vomiting in any overdose.
Rationale 4: Naloxone does not prevent or reduce the psychoactive effects of any drug.
Global Rationale: If the drug was opioid in nature, naloxone will quickly reverse the respiratory depression, helping with identification of the drug. Naloxone is not given to induce consciousness. Naloxone does not prevent nausea or vomiting in any overdose nor does it prevent or reduce the psychoactive effects of any drug.

Answer to Question 2

Correct Answer: 3
Rationale 1: Looking for more triggers might not help with the need to prevent the headaches, since the client is having so many headaches each month.
Rationale 2: If a client is having more than three headaches a month, she might need a drug to prevent headaches.
Rationale 3: If a client is having more than three migraine headaches a month, she might require preventive rather than abortive treatment.
Rationale 4: Taking a drug holiday will not help the client manage her headaches.
Global Rationale: If a client is having more than three migraine headaches a month, she might require preventive rather than abortive treatment. Looking for more triggers might not help with the need to prevent the headaches, since the client is having so many headaches each month. Taking a drug holiday will not help the client manage her headaches.





 

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