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NCLEX Question of the Day
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After receiving naloxone (Narcan) for an opioid overdose, a client's respiratory rate increases from 6 to 12 breaths/min. The nurse should next:
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Administer another dose of naloxone
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Correct answer Continue to monitor respirations and LOC
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Insert an oral airway
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Apply a non-rebreather mask
Rationale
Naloxone is an opioid antagonist that reverses the respiratory depression caused by opioids. An increase in respiratory rate from 6 to 12 breaths/min after naloxone administration indicates that the client is responding to treatment.
At this point, the priority is to closely monitor the client's respirations and level of consciousness for any changes. Naloxone's effects may wear off before the opioid is fully metabolized, potentially causing respiratory depression to recur.
Administering another dose of naloxone is not indicated if the client's respiratory status has already improved. Applying a non-rebreather mask or inserting an oral airway would be appropriate if the client was still hypoventilating or unresponsive, but is not necessary if respirations have increased to an adequate rate.
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