A nurse is assessing a client who has a history of opioid abuse and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?

Hypertension, tachycardia, and diaphoresis

Hypotension, bradycardia, and constipation

Hypothermia, lethargy, and miosis

Hyperthermia, agitation, and mydriasis

Answer and Explanation

The Correct Answer is A

Correct answer: a) Hypertension, tachycardia, and diaphoresis

Rationale: Opioid withdrawal symptoms are similar to those of sympathetic nervous system activation and include hypertension, tachycardia, diaphoresis, restlessness, anxiety, muscle aches, nausea, vomiting, and diarrhea.

Incorrect choices:

b) Hypotension, bradycardia, and constipation: These are signs of opioid intoxication or overdose, not withdrawal.

c) Hypothermia, lethargy, and miosis: These are also signs of opioid intoxication or overdose, not withdrawal.

d) Hyperthermia, agitation, and mydriasis: These are signs of stimulant abuse or withdrawal, not opioid withdrawal.

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Correct Answer is A

Explanation

Correct answer: a) Grapefruit juice

Rationale: Grapefruit juice can increase the blood levels of alprazolam and other benzodiazepines by inhibiting their metabolism in the liver. This can result in increased sedation, drowsiness, and risk of adverse effects.

Incorrect choices:

b) Green tea: Green tea does not interact with alprazolam or other benzodiazepines.

c) Vitamin C: Vitamin C does not interact with alprazolam or other benzodiazepines.

d) Calcium supplements: Calcium supplements do not interact with alprazolam or other benzodiazepines.

A. Hypotension and bradycardia B. Agitation and paranoia C. Slurred speech and ataxia D. Sedation and respiratory depression

Correct Answer is B

Explanation

Correct answer: b) Agitation and paranoia

Rationale: Agitation and paranoia are signs of stimulant intoxication and indicate that the client is experiencing a psychotic reaction to amphetamines. The nurse should provide a calm and safe environment, administer antipsychotics if ordered, and monitor the client for violence or self-harm.

Incorrect choices:
a) Hypotension and bradycardia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
c) Slurred speech and ataxia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
d) Sedation and respiratory depression: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.

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A nurse is assessing a client who has a history of opioid abuse and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed alprazolam (Xanax) for anxiety disorder. The nurse should instruct the client to avoid which of the following substances while taking this medication?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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