A nurse is providing an in-service on the complications of naloxone (Narcan), such as abstinence syndrome. Which of the following signs and symptoms should the nurse include in her in-service about abstinence syndrome?

Pinpoint pupils, coma, and respiratory depression.

Sedation, fixed pupils, and nausea,

Fever, hypertension, vomiting, anxiety, and abdominal cramping

Hyperventilation, depression, and constipation.

Answer and Explanation

The Correct Answer is C

A.   Pinpoint pupils, coma, and respiratory depression: These are signs of opioid overdose, not abstinence syndrome.
B.   Sedation, fixed pupils, and nausea: This may be associated with opioid overdose, not withdrawal.
C.   Fever, hypertension, vomiting, anxiety, and abdominal cramping: These are classic symptoms of abstinence syndrome (withdrawal symptoms) after naloxone administration.
D.   Hyperventilation, depression, and constipation: These are not typical signs of abstinence syndrome.

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Correct Answer is C

Explanation

A. Mannitol is an osmotic diuretic, and although it can cause dehydration and electrolyte imbalances, it does not specifically cause hypokalemia as a primary side effect.
B. Spironolactone is a potassium-sparing diuretic, so it is less likely to cause hypokalemia. In fact, it can cause hyperkalemia.
C. Furosemide is a loop diuretic that increases urine output and can lead to potassium loss, causing hypokalemia. This is a common complication of loop diuretics.
D. Metformin is an oral antidiabetic medication and is not a diuretic, so it is not associated with hypokalemia.

A. Oral (PC) B. Intravenous (IV) C. Intramuscular (IM) D. Subcutaneous (SC)

Correct Answer is A

Explanation

A. Oral (PC): Naloxone undergoes rapid first-pass metabolism when taken orally, making it ineffective via this route.
B. Intravenous (IV): This is an effective route for naloxone administration.
C. Intramuscular (IM): This is also an effective route for naloxone administration.
D. Subcutaneous (SC): Naloxone can also be administered subcutaneously.

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A nurse is providing an in-service on the complications of naloxone (Narcan), such as abstinence syndrome. Which of the following signs and symptoms should the nurse include in her in-service about abstinence syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing an in-service about potassium-wasting diuretics. Which of the following medications is a diuretic has a complication of hypokalemia?

Correct Answer is C

Explanation

A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. The nurse understands that naloxone (Narcan) be administered in all of the following routes EXCEPT for:

Correct Answer is A

Explanation

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