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

Answer and Explanation

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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Free Nursing Study Resources

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. Coma B. Respiratory depression C. Dilated pupils D. Pinpoint pupils

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

Explanation

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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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.).

Nursing Test Bank

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 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.).

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

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?

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 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?

A nurse is caring for a client with a prescription for celecoxib (Celebrex). The nurse tells the client to report which of the following adverse drug reactions?

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?

A client has a new prescription for baclofen (Lioresal). Which of the following statements should the nurse include as a therapeutic indication for this medication?

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)

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.).