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.).
Butorphanol (Stadol)
Buprenorphine (Buprenex)
Oxycodone (Oxycontin)
Naloxone (Narcan)
Correct Answer : A,B
A. Butorphanol is a mixed opioid agonist-antagonist that can cause withdrawal symptoms in opioid- dependent clients due to its partial antagonism at mu receptors.
B. Buprenorphine is a partial agonist at mu receptors and can also precipitate withdrawal symptoms in individuals who are opioid-dependent.
C. Oxycodone is a full agonist and does not cause withdrawal symptoms unless abruptly discontinued in opioid-dependent individuals.
D. Naloxone is an opioid antagonist used to reverse opioid overdose and is unlikely to cause abstinence syndrome, although it can precipitate withdrawal in opioid-dependent clients when used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Morphine is a full agonist on mu receptors and does not act on kappa receptors in the same way.
B. Naloxone is an opioid antagonist that blocks both mu and kappa receptors.
C. Butorphanol is a mixed opioid agonist-antagonist that acts as an agonist on kappa receptors and an antagonist on mu receptors. It is used for pain management and has a lower risk of dependence compared to full opioid agonists.
D. Acetaminophen does not act on opioid receptors and is not classified as an opioid.
Correct Answer is ["C","D"]
Explanation
A. Oxycodone is an opioid agonist, not an antagonist. It is used for pain management.
B. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID), not an opioid antagonist. It is used to reduce inflammation and pain.
C. Naltrexone is an opioid antagonist that blocks the effects of opioids and is used for treating opioid addiction and alcohol use disorder.
D. Naloxone (Narcan) is an opioid antagonist used to reverse opioid overdose by blocking the effects of opioids on the brain.
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