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","B"]

Explanation

A. Butorphanol is a mixed opioid agonist-antagonist that can cause withdrawal symptoms in opioid- dependent clients due to its partial antagonism at mu receptors.
B. Buprenorphine is a partial agonist at mu receptors and can also precipitate withdrawal symptoms in individuals who are opioid-dependent.
C. Oxycodone is a full agonist and does not cause withdrawal symptoms unless abruptly discontinued in opioid-dependent individuals.
D. Naloxone is an opioid antagonist used to reverse opioid overdose and is unlikely to cause abstinence syndrome, although it can precipitate withdrawal in opioid-dependent clients when used.

A. Morphine (MS Contin B. Acetaminophen (Tylenol) C. Meperidine (Demerol) D. Naloxone (Narcan)

Correct Answer is C

Explanation

A. Morphine is contraindicated for clients with a history of biliary colic because it can cause spasm of the bile ducts, worsening the condition.
B. Acetaminophen is an effective pain reliever for mild to moderate pain but does not provide the same level of pain relief as morphine for severe pain.
C. Meperidine (Demerol) is a safer alternative for clients with biliary colic because it has less effect on the sphincter of Oddi, reducing the risk of spasm.
D. Naloxone is an opioid antagonist used to reverse opioid toxicity, not for pain management.

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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.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing an in-service regarding medications that can cause abstinence syndrome. Which of the following medications can cause abstinence syndrome? (Select All That Apply.).

Correct Answer is ["A","B"]

Explanation

A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?

Correct Answer is C

Explanation

A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

A nurse is teaching a client about a new prescription for Ibuprofen (Motrin) Which of the following information should the nurse include in the teaching?

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

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.)

A nurse is educating a client with a new prescription of alendronate (Fosamax) for osteoporosis. Which of the following statements should the nurse include in her patient's education about this medication?

A nurse is providing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. Which of the following options DOES NOT indicate an adverse effect of this medication?