A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).

Coma

Respiratory depression

Dilated pupils

Pinpoint pupils

Answer and Explanation

Correct Answer : A,B,D

A.   Coma is a common symptom of opioid toxicity, including toxicity from fentanyl.
B.   Respiratory depression is a hallmark of opioid toxicity and can be life-threatening.
C.   Dilated pupils are generally associated with stimulant overdose, not opioid toxicity. Opioid toxicity typically causes pinpoint pupils.
D.   Pinpoint pupils (miosis) are a classic sign of opioid toxicity and are present in the opioid toxicity triad.

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Correct Answer is A

Explanation

A. Dantrolene (Dantrium) is used to treat malignant hyperthermia, a life-threatening condition triggered by certain anesthetic agents. It works by inhibiting calcium release from the sarcoplasmic reticulum in muscle cells, reducing muscle rigidity and preventing further complications.
B. Dantrolene is not used for treating status epilepticus; other medications such as benzodiazepines are used for that purpose.
C. Dantrolene is not used for overactive bladder; medications like anticholinergics or beta-3 agonists are typically prescribed for this condition.
D. While dantrolene can relieve muscle spasms, it is primarily used for conditions like malignant hyperthermia and spasticity from conditions like cerebral palsy or spinal cord injury, rather than just for muscle injury.

A. 30 to 60 seconds B. 1 to 2 minutes C. 4 to 5 minutes D. 4 to 5 seconds

Correct Answer is B

Explanation

A. Pushing morphine too quickly (within 30 to 60 seconds) can increase the risk of adverse effects.
B. To reduce the risk of respiratory depression, hypotension, and other adverse effects, morphine sulfate should be administered slowly over 1 to 2 minutes when given intravenously.
C. Pushing over 4 to 5 minutes is excessive and unnecessary for morphine IVP administration.
D. Pushing morphine too quickly (4 to 5 seconds) can cause serious complications, including respiratory depression.

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A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client about dantrolene (Dantrium). Which of the following statements indicate the appropriate therapeutic use of this medication?

Correct Answer is A

Explanation

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

Correct Answer is B

Explanation

A nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)

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A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).

Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

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