Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a postoperative client who is receiving fentanyl.
Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?
A. Atropine.
Atropine. Rationale: Atropine is not the appropriate medication for managing fentanyl toxicity. Atropine is used for treating bradycardia and certain types of poisoning but does not reverse the effects of opioids like fentanyl.
B. Naloxone.
Naloxone. Rationale: Naloxone is the medication of choice for reversing the effects of opioid toxicity, including fentanyl. It works by competing with opioids at the receptor sites in the brain, effectively reversing respiratory depression and other opioid-related effects. Naloxone can rapidly restore normal respiration in individuals who have overdosed on opioids.
C. Protamine.
Protamine. Rationale: Protamine is used to reverse the anticoagulant effects of heparin, not opioid toxicity. It has no role in managing fentanyl toxicity.
D. Flumazenil.
Flumazenil. Rationale: Flumazenil is a medication used to reverse the effects of benzodiazepine overdose, not opioid overdose. It is not effective in treating fentanyl toxicity and can precipitate seizures in individuals who have co-ingested benzodiazepines and opioids.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom T1 PM Summer 2023 Proctored Exam 5. Take the full exam now
Similar Questions
A nurse is collecting data from a client who has an inadequate dietary intake of Vitamin A. Which of the following findings should the nurse expect?
A. Memory loss.
Memory loss. Rationale: Memory loss is not a common manifestation of inadequate dietary intake of Vitamin A. Vitamin A deficiency typically affects vision (night blindness) and can lead to skin and mucous membrane changes but is not strongly associated with memory loss.
B. Bleeding gums.
Bleeding gums. Rationale: Bleeding gums are more commonly associated with Vitamin C deficiency (scurvy) rather than Vitamin A deficiency. Vitamin A deficiency primarily affects vision and skin health, while Vitamin C deficiency affects connective tissues and can lead to bleeding gums.
C. Vision Changes.
Vision Changes. Rationale: Vision changes, particularly night blindness, are a hallmark manifestation of Vitamin A deficiency. The retinal pigment rhodopsin, which is essential for low-light vision, requires Vitamin A for its synthesis. Inadequate Vitamin A intake can lead to difficulty seeing in low-light conditions and eventually to more severe vision impairment.
D. Brittle hair.
Brittle hair. Rationale: Brittle hair is not a common manifestation of Vitamin A deficiency. Hair and skin changes related to Vitamin A deficiency are typically associated with dry, scaly skin and hair follicle changes rather than brittleness. Hair quality may improve with Vitamin A supplementation, but it is not the primary symptom of deficiency.
A nurse is caring for a client who has impaired speech.
Which of the following actions should the nurse take?
A. Allow extra time to communicate with the client.
Allowing extra time to communicate with the client is the most appropriate action when caring for a client with impaired speech. Impaired speech can result from various conditions such as stroke, neurological disorders, or developmental issues. These clients may have difficulty articulating their thoughts and may require more time to express themselves effectively. By providing extra time, the nurse ensures that the client has the opportunity to convey their needs and concerns without feeling rushed or frustrated. This approach promotes effective communication and enhances the client's overall care experience.
B. Finish sentences for the client.
Finishing sentences for the client is not an appropriate action. It can be perceived as disrespectful and may lead to frustration for the client. It undermines the client's autonomy and ability to communicate independently. It's essential to encourage and support the client in expressing themselves rather than taking over their communication.
C. Ask open-ended questions.
Asking open-ended questions is generally a good communication strategy. However, for a client with impaired speech, it may not always be the most effective approach. Open-ended questions often require more extensive responses, which can be challenging for clients with speech difficulties. While open-ended questions have their place in communication, in this specific scenario, allowing extra time (Choice A) is a more suitable strategy.
D. Avoid using visual aids for communication.
Avoiding the use of visual aids for communication is not recommended. Visual aids, such as pictures or written words, can be valuable tools for enhancing communication with clients who have impaired speech or vision impairments. These aids can help convey information, clarify messages, and improve understanding. Avoiding visual aids unnecessarily limits communication options and may hinder the client's ability to express themselves or comprehend information.
E. Avoid using visual aids for communication.
A nurse is preparing to administer hydrochlorothiazide 75 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet.
How many tablets should the nurse administer? (Round the answer to the nearest tenth.
Use a leading zero if it applies.).
A. 1.5 tablet(s).
Step 1 is to determine the amount of medication needed. The nurse needs to administer 75 mg of hydrochlorothiazide. Step 2 is to understand the amount available. Each tablet contains 50 mg of hydrochlorothiazide. Step 3 is to calculate the number of tablets. This can be done by dividing the total amount needed (75 mg) by the amount in each tablet (50 mg). So, the calculation is 75 mg ÷ 50 mg/tablet. Step 4 is to round the answer to the nearest tenth. So, the correct answer is, after analyzing all steps, the nurse should administer1.5tablets of hydrochlorothiazide.
B. 1.4 tablet(s).
Step 1 is to determine the amount of medication needed. The nurse needs to administer 75 mg of hydrochlorothiazide. Step 2 is to understand the amount available. Each tablet contains 50 mg of hydrochlorothiazide. Step 3 is to calculate the number of tablets. This can be done by dividing the total amount needed (75 mg) by the amount in each tablet (50 mg). So, the calculation is 75 mg ÷ 50 mg/tablet. Step 4 is to round the answer to the nearest tenth. So, the correct answer is, after analyzing all steps, the nurse should administer1.5tablets of hydrochlorothiazide.
C. 1.6 tablet(s).
Step 1 is to determine the amount of medication needed. The nurse needs to administer 75 mg of hydrochlorothiazide. Step 2 is to understand the amount available. Each tablet contains 50 mg of hydrochlorothiazide. Step 3 is to calculate the number of tablets. This can be done by dividing the total amount needed (75 mg) by the amount in each tablet (50 mg). So, the calculation is 75 mg ÷ 50 mg/tablet. Step 4 is to round the answer to the nearest tenth. So, the correct answer is, after analyzing all steps, the nurse should administer1.5tablets of hydrochlorothiazide.
D. 1.7 tablet(s).
Step 1 is to determine the amount of medication needed. The nurse needs to administer 75 mg of hydrochlorothiazide. Step 2 is to understand the amount available. Each tablet contains 50 mg of hydrochlorothiazide. Step 3 is to calculate the number of tablets. This can be done by dividing the total amount needed (75 mg) by the amount in each tablet (50 mg). So, the calculation is 75 mg ÷ 50 mg/tablet. Step 4 is to round the answer to the nearest tenth. So, the correct answer is, after analyzing all steps, the nurse should administer1.5tablets of hydrochlorothiazide.
Full Explanation
Step 1 is to determine the amount of medication needed. The nurse needs to administer 75 mg of hydrochlorothiazide.
Step 2 is to understand the amount available. Each tablet contains 50 mg of hydrochlorothiazide.
Step 3 is to calculate the number of tablets. This can be done by dividing the total amount needed (75 mg) by the amount in each tablet (50 mg). So, the calculation is 75 mg ÷ 50 mg/tablet.
Step 4 is to round the answer to the nearest tenth.
So, the correct answer is, after analyzing all steps, the nurse should administer 1.5 tablets of hydrochlorothiazide.