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.).
Coma
Pinpoint pupils
Fever
Vomiting
Correct Answer : C,D
A. Coma is typically a symptom of opioid overdose, not abstinence syndrome.
B. Pinpoint pupils are commonly associated with opioid toxicity, not abstinence syndrome.
C. Fever is a sign of abstinence syndrome, which can occur after opioid withdrawal.
D. Vomiting is also a symptom of abstinence syndrome, which is a withdrawal reaction that can occur when naloxone reverses opioid effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urinary symptoms such as urgency and frequency are not related to the therapeutic effects of cyclobenzaprine.
B. Cyclobenzaprine is a muscle relaxant, and its effectiveness is indicated by a reduction in muscle rigidity and spasms, along with improved range of motion.
C. Physical dependence is not a goal of treatment with cyclobenzaprine. The effectiveness of the medication should be measured by symptom relief, not dependence.
D. Cyclobenzaprine does not affect respiratory function, so the absence of spontaneous respiratory movements in mechanically ventilated clients is unrelated to the medication's action.
Correct Answer is B
Explanation
A. Baclofen does not treat muscle spasms resulting from injury, as its primary use is for spasticity related to neurological conditions.
B. Baclofen is primarily used to treat spasticity, which is commonly seen in conditions such as cerebral palsy, spinal cord injury, and multiple sclerosis. It works by acting on the central nervous system to reduce muscle stiffness and spasm.
C. Malignant hyperthermia is typically treated with dantrolene, not baclofen.
D. Baclofen does not treat opioid overdose; naloxone is the medication used for this purpose.
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