A client in the intensive care unit has a presentation of pinpoint pupils, respiratory depression, and coma after overdosing on morphine sulfate (Astramorph). Which of the following is the appropriate complication based on the client's presentation?
Opioid toxicity triad.
Orthostatic hypotension.
Hypertension.
Abstinence syndrome.
The Correct Answer is A
Choice A rationale
Opioid toxicity triad includes symptoms of pinpoint pupils, respiratory depression, and coma. These symptoms are indicative of a morphine sulfate overdose.
Choice B rationale
Orthostatic hypotension is a form of low blood pressure that happens when standing up from sitting or lying down. It is not related to opioid toxicity.
Choice C rationale
Hypertension is high blood pressure. It is not related to opioid toxicity.
Choice D rationale
Abstinence syndrome is a group of symptoms that occur upon the abrupt discontinuation or decrease in intake of medications or recreational drugs. It is not the appropriate complication for the client's presentation. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Naloxone (Narcan) is an opioid antagonist that works by binding to opioid receptors in the central nervous system, displacing opioids, and reversing their effects such as respiratory depression and sedation.
Choice B rationale
Abstinence syndrome is treated with medications that manage withdrawal symptoms rather than reversing opioid effects, which is not naloxone's primary use.
Choice C rationale
Naloxone does not have analgesic properties, meaning it does not relieve pain; it is specifically used to counteract opioid overdose.
Choice D rationale
Naloxone is not used to treat hypoglycemia, which is a condition of low blood sugar levels, managed by glucose administration.
Correct Answer is C
Explanation
Choice A rationale
Metoprolol is a beta-blocker used for hypertension and angina, not for controlling blood sugar levels.
Choice B rationale
Glucagon is used to treat severe hypoglycemia by increasing blood glucose levels, not for regular blood sugar control.
Choice C rationale
Metformin is an oral hypoglycemic agent used to lower elevated blood glucose levels in type 2 diabetes.
Choice D rationale
Nitroglycerin is a nitrate used to treat angina by dilating blood vessels, not for blood sugar control.
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