A nurse is providing an in-service on the complications of overdosing on morphine, such as the opioid toxicity triad. Which of the following signs and symptoms should the nurse include in her in-service about opioid toxicity triad?
Coma, respiratory alkalosis, and regular pupils.
Pinpoint pupils, respiratory depression, and coma.
Pinpoint pupils, hypertension, and constipation.
Constipation, pupillary dilation, and hypotension.
The Correct Answer is B
A. Coma, respiratory alkalosis, and regular pupils: These are not indicative of opioid toxicity. Opioid toxicity typically leads to respiratory depression and constricted pupils.
B. Pinpoint pupils, respiratory depression, and coma: This is the classic triad of opioid toxicity. Pinpoint pupils, respiratory depression, and coma are hallmark signs.
C. Pinpoint pupils, hypertension, and constipation: Hypertension is not a typical feature of opioid overdose; hypotension is more common.
D. Constipation, pupillary dilation, and hypotension: Constipation is common with opioids but pupillary dilation and hypotension are not part of the typical toxicity triad.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Duration of action refers to the length of time the medication has an effect, not how it moves through the body.
B. Absorption is the process by which a drug moves from the site of administration into the bloodstream or circulating fluids.
C. Diffusion is part of absorption, but absorption is the broader term that encompasses all mechanisms by which the drug enters the bloodstream.
D. Onset of action refers to the time it takes for the medication to begin working, not the movement of the drug through the body.
Correct Answer is B
Explanation
A. Butorphanol (Stadol) is an opioid agonist-antagonist used for pain management. It is more likely to cause drowsiness or sedation rather than insomnia.
B. Abstinence syndrome, or withdrawal symptoms, can occur in patients who are dependent on opioids. Butorphanol can precipitate withdrawal symptoms in individuals who are dependent on opioid agonists.
C. Migraines are not a typical complication of butorphanol. However, butorphanol is used for pain relief, which can sometimes include migraines, but it does not cause them.
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