A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?

Choice A reason: This is not an expected finding for a client who is experiencing opioid toxicity because pupillary dilation or enlargement of the pupils is not a common symptom of opioid overdose or poisoning. The nurse should expect to see pupillary constriction or narrowing of the pupils, which is also known as miosis, in a client who has taken excessive amounts of opioids.

Choice B reason: This is an expected finding for a client who is experiencing opioid toxicity because hypotension or low blood pressure is a common symptom of opioid overdose or poisoning. The nurse should monitor the client's blood pressure and pulse and administer naloxone as prescribed to reverse the effects of opioids.

Choice C reason: This is not an expected finding for a client who is experiencing opioid toxicity because chest pain is not a common symptom of opioid overdose or poisoning. The nurse should assess for other causes of chest pain, such as cardiac ischemia, pulmonary embolism, or anxiety.

Choice D reason: This is not an expected finding for a client who is experiencing opioid toxicity because diaphoresis or excessive sweating is not a common symptom of opioid overdose or poisoning. The nurse should assess for other causes of diaphoresis, such as fever, infection, or withdrawal syndrome.

Choice A reason: This is not a statement that indicates acceptance, but rather denial or grief. The client is expressing a desire to return to their previous state and ignoring the reality of their situation. The nurse should acknowledge the client's feelings and provide emotional support and education.

Choice B reason: This is not a statement that indicates acceptance, but rather unrealistic or magical thinking. The client is expecting an impossible outcome and avoiding the facts of their condition. The nurse should explain the function and care of the ileostomy and clarify any misconceptions.

Choice C reason: This is a statement that indicates acceptance, as well as coping and resilience. The client is demonstrating a willingness to adapt to their new situation and seek help from others who have similar experiences. The nurse should praise the client's positive attitude and provide information and resources about support groups.

Choice D reason: This is not a statement that indicates acceptance, but rather avoidance or dependency. The client is showing a lack of interest or involvement in their self-care and relying on their partner to perform the tasks for them. The nurse should encourage the client's participation and independence and teach them how to empty and change the bag.