Correct Answer: B

Rationale: Monitoring for respiratory depression is critical with buprenorphine, a partial opioid agonist, as it can cause this serious side effect, especially if combined with other CNS depressants.
Choice A is incorrect because buprenorphine is taken regularly to prevent withdrawal and cravings, not only when symptoms occur.
Choice C is incorrect because weight gain is not a common side effect of buprenorphine; weight changes are more likely with other medications.
Choice D is incorrect because buprenorphine storage depends on the formulation (e.g., tablets, films), but specific storage instructions should be verified, and this is not the priority.

Correct Answer: C

Rationale: Discussing with the client his inappropriate behavior prior to seclusion is important, but it's not the most appropriate action. The priority is to ensure the safety of the client and others, which can be achieved by documenting the client's behavior prior to seclusion. Offering fluids every 2 hours is a good practice to keep the client hydrated, especially if they are agitated or physically active. However, this is not the most appropriate action in this context. Documenting the client's behavior prior to being placed in seclusion is the most appropriate action. This documentation is crucial for legal and ethical reasons, and it helps in evaluating the effectiveness of the intervention. Assessing the client's behavior once every hour is important to monitor the client's condition and response to seclusion. However, this is not the most appropriate action in this context.

Correct Answer: B

Rationale: Tremors are a common finding in alcohol use disorder, especially during withdrawal, due to central nervous system hyperexcitability from chronic alcohol suppression.
Choice A is incorrect because hyperglycemia, not hypoglycemia, may occur due to alcohol's effect on liver glycogenolysis.
Choice C is incorrect because hypertension, not hypotension, is more common, especially during withdrawal or chronic use.
Choice D is incorrect because weight loss, not weight gain, is typical due to poor nutrition and increased metabolic demand.

Correct Answer: A

Rationale: Infiltration at the IV site with dopamine risks tissue damage, requiring provider notification. Normal blood pressure, urine output, and heart rate are not urgent.

Correct Answer: C

Rationale: A murmur heard on auscultation is an abnormal finding that may indicate a congenital heart defect or other cardiac issue, requiring immediate reporting to the provider for further evaluation, such as an echocardiogram.
Choice A is wrong because a weight loss of 8% since birth is within the normal range for newborns (up to 10% in the first few days) and does not require immediate reporting unless accompanied by other concerns like poor feeding.
Choice B is wrong because acrocyanosis of the hands and feet is a common, benign finding in newborns due to immature circulation and does not typically require reporting.
Choice D is wrong because jaundice of the face and chest within 24 hours is often physiological and expected, but it should be monitored; it does not require immediate reporting unless severe or accompanied by other symptoms.