A nurse is assessing a client who is withdrawing from opioid use. Which of the following findings should the nurse expect?
Bradypnea
Constipation
Miosis
Sneezing
The Correct Answer is D
A. Bradypnea: Opioid withdrawal typically causes an increase in respiratory rate rather than slowing. Bradypnea is more commonly associated with opioid intoxication, not withdrawal.
B. Constipation: While opioids cause constipation during use, withdrawal usually results in diarrhea and increased bowel motility rather than continued constipation.
C. Miosis: Pupil constriction occurs with opioid use. During withdrawal, pupils often dilate (mydriasis), so miosis is not expected.
D. Sneezing: Sneezing is a common manifestation of opioid withdrawal due to hyperactivity of the autonomic nervous system. Other signs include lacrimation, rhinorrhea, yawning, and generalized restlessness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ranitidine: Ranitidine is an H2 receptor blocker that generally has minimal interaction with warfarin and does not significantly affect its anticoagulant effect.
B. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding when taken with warfarin. NSAIDs inhibit platelet function and can potentiate the anticoagulant effect, making concurrent use dangerous.
C. Flaxseed: Flaxseed may have mild anticoagulant properties, but it does not pose as significant a risk as NSAIDs. It can usually be consumed with caution while monitoring for bleeding.
D. Soy: Soy products can have minor effects on warfarin metabolism, but they are not typically associated with a high risk of serious interactions. Monitoring may be sufficient rather than strict avoidance.
Correct Answer is B
Explanation
A. Methadone: Methadone is an opioid agonist used for opioid dependence and pain management. It does not treat the symptoms of alcohol withdrawal and is not indicated in this scenario.
B. Chlordiazepoxide: Chlordiazepoxide is a benzodiazepine commonly used to manage acute alcohol withdrawal. It reduces agitation, tremors, and the risk of seizures by enhancing GABAergic activity in the central nervous system.
C. Varenicline: Varenicline is used to aid smoking cessation by acting on nicotinic receptors. It does not alleviate alcohol withdrawal symptoms and is not part of standard alcohol withdrawal management.
D. Buprenorphine: Buprenorphine is a partial opioid agonist used for opioid use disorder. It is not effective in treating alcohol withdrawal and does not address the associated neurological excitability or risk of seizures.
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