A nurse is assessing a client who has been prescribed oxycodone for chronic pain. Which of the following signs and symptoms should alert the nurse to possible prescription drug abuse?

Constipation and dry mouth

Drowsiness and respiratory depression

Nausea and vomiting

Pupillary constriction and itching

Answer and Explanation

The Correct Answer is B

Correct answer: b) Drowsiness and respiratory depression

Rationale: Drowsiness and respiratory depression are signs of opioid overdose and indicate that the client is taking more than the prescribed dose or combining oxycodone with other depressants. The nurse should monitor the client's vital signs, administer naloxone if indicated, and report the situation to the prescriber.

Incorrect choices:
a) Constipation and dry mouth: These are common side effects of opioids and do not necessarily indicate abuse.
c) Nausea and vomiting: These are also common side effects of opioids and can be managed with antiemetics.
d) Pupillary constriction and itching: These are also common side effects of opioids and do not necessarily indicate abuse.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

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.

A. Administer naloxone (Narcan) B. Administer flumazenil (Romazicon) C. Administer activated charcoal D. Administer acetylcysteine (Mucomyst)

Correct Answer is B

Explanation

Correct answer: b) Administer flumazenil (Romazicon)

Rationale: Flumazenil is an antidote for benzodiazepine overdose that works by blocking the benzodiazepine receptors in the brain. It can reverse the effects of benzodiazepines such as sedation, respiratory depression, and coma.

Incorrect choices:

a) Administer naloxone (Narcan): Naloxone is an antidote for opioid overdose that works by displacing opioids from their receptors in the brain. It has no effect on benzodiazepines or their receptors.

c) Administer activated charcoal: Activated charcoal is a substance that binds to drugs or toxins in the gastrointestinal tract and prevents their absorption into the bloodstream. It may be useful for some cases of drug overdose, but it is not effective for benzodiazepines as they are rapidly absorbed and distributed in the body.

d) Administer acetylcysteine (Mucomyst): Acetylcysteine is an antidote for acetaminophen overdose that works by replenishing glutathione, a substance that helps detoxify acetaminophen in the liver. It has no effect on benzodiazepines or their metabolism.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who has been prescribed oxycodone for chronic pain. Which of the following signs and symptoms should alert the nurse to possible prescription drug abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

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?

A nurse is reviewing the medication history of a client who is prescribed lithium carbonate (Lithobid) for bipolar disorder. Which of the following medications should alert the nurse to a potential drug interaction?

A nurse is assessing a client who has been prescribed oxycodone for chronic pain. Which of the following signs and symptoms should alert the nurse to possible prescription drug abuse?

A nurse is caring for a client who has been prescribed benzodiazepines for anxiety disorder. The client tells the nurse that they have been taking more than the prescribed dose because they feel more anxious lately. Which of the following actions should the nurse take?

A client is admitted to the emergency department with signs of stimulant intoxication. The client reports taking amphetamines prescribed by a friend for weight loss. Which of the following findings should the nurse expect?

A nurse is caring for a client who has been taking amphetamine (Adderall) for attention-deficit/hyperactivity disorder (ADHD). The client reports insomnia, weight loss, and palpitations. Which of the following actions should the nurse take?

A nurse is teaching a client who is prescribed disulfiram (Antabuse) for alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?