ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who just received naloxone. Which nursing intervention is highest priority?
Correct Answer: B
Rationale: The correct answer is B: Monitor airway and vital signs. After receiving naloxone, the client may experience opioid withdrawal symptoms like respiratory depression, which can lead to airway compromise and respiratory distress. Monitoring the airway and vital signs is crucial to ensure adequate oxygenation and ventilation. Inserting a nasogastric tube (
A) is not the priority as it does not address the immediate risk of respiratory compromise. Inserting an indwelling urinary catheter or monitoring output (
C) is unnecessary at this time as it does not address the client's immediate physiological needs. Anticipating and treating hyperpyrexia with cooling measures (
D) is not indicated as naloxone administration does not typically cause hyperpyrexia.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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