Asked by Allie Tangco on Jul 27, 2024
Verified
In the emergency department, a patient's vital signs are BP 66/40 mm Hg; pulse 140 beats/minute; respirations 8 breaths/minute and shallow. The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to opioid intoxication. Select the priority outcome.
A) The patient will demonstrate effective coping skills and identify community resources for treatment of substance abuse within 1 week of hospitalization.
B) Within 4 hours, vital signs will stabilize, with BP above 90/60 mm Hg, pulse less than 100 beats/minute, and respirations at or above 12 breaths/minute.
C) The patient will correctly describe a plan for home care and achieving a drug-free state before release from the emergency department.
D) Within 6 hours, the patient's breath sounds will be clear bilaterally and throughout lung fields.
Ineffective Breathing Pattern
A respiratory condition where there is an insufficient exchange of air, leading to inadequate oxygen intake or carbon dioxide elimination.
Opioid Intoxication
The acute state of poisoning resulting from the excessive consumption of opioids, leading to altered mental state, respiratory depression, and potential fatality.
Vital Signs
Clinical measurements—specifically pulse rate, temperature, respiration rate, and blood pressure—that indicate the state of a patient's essential body functions.
- Learn the essential factors in assessing and treating subjects with substance overdose.
- Determine priority nursing outcomes for patients with opioid intoxication and respiratory depression.
Verified Answer
Learning Objectives
- Learn the essential factors in assessing and treating subjects with substance overdose.
- Determine priority nursing outcomes for patients with opioid intoxication and respiratory depression.
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