A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose.
Which of the following findings should indicate to the nurse that the medication is effective?

Increased temperature.

Decreased blood pressure.

Increased respiratory rate.

Report of decreased pain.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Increased temperature is not a direct indication of naloxone’s effectiveness. Naloxone works by reversing the effects of opioids, which do not typically include fever.

Choice B rationale:

While naloxone can cause an abrupt withdrawal in opioid-dependent individuals, leading to symptoms such as hypertension, it does not typically decrease blood pressure in opioid overdose cases.

Choice C rationale:

Naloxone works by reversing the life-threatening depression of the central nervous system and respiratory system caused by an opioid overdose. Therefore, an increased respiratory rate after administration would indicate that the medication is effective.

Choice D rationale:

Naloxone reverses the effects of opioids, including pain relief. Therefore, a report of decreased pain would not indicate that the medication is effective.

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Correct Answer is D

Explanation

Choice A rationale:

Hypotension is not typically a symptom of withdrawal from diazepam. Withdrawal from diazepam, a benzodiazepine, usually results in symptoms opposite to its therapeutic effects.

Choice B rationale:

Drowsiness is not a symptom of withdrawal from diazepam. In fact, insomnia or difficulty sleeping may occur during withdrawal.

Choice C rationale:

Anorexia or loss of appetite may occur during withdrawal from some substances but it’s not typically associated with benzodiazepine withdrawal.

Choice D rationale:

Tremors are a common symptom of withdrawal from diazepam. Other symptoms can include anxiety, restlessness, irritability, and even seizures in severe cases.

A. Positive Chvostek's sign. B. Pitting pedal edema. C. Decreased deep-tendon reflexes. D. Decreased blood glucose level.

Correct Answer is D

Explanation

Choice A rationale:

A Positive Chvostek’s sign is a clinical finding associated with hypocalcemia, or low levels of calcium in the blood. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice B rationale:

Pitting pedal edema occurs when excess fluid builds up in the body, causing swelling. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice C rationale:

Decreased deep-tendon reflexes or hyporeflexia happens when your skeletal muscles have a decreased or absent reflex response. It’s not directly related to glyburide usage or symptoms of anxiety and profuse sweating.

Choice D rationale:

Decreased blood glucose level or hypoglycemia occurs when your blood sugar (glucose) level falls too low. Glyburide is an oral diabetes medicine that helps control blood sugar levels. Anxiety and profuse sweating are symptoms of low blood sugar.

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A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose.Which of the following findings should indicate to the nurse that the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose.
Which of the following findings should indicate to the nurse that the medication is effective?