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A nurse is collecting data from a client who is experiencing opioid withdrawal.
Which of the following manifestations should the nurse expect?.

Bradycardia

Diarrhea.

Hypokinesis.

Meiosis.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

This statement is incorrect. Opioid withdrawal typically results in tachycardia, not bradycardia.

Choice B rationale:

This statement is correct. Diarrhea is a common symptom of opioid withdrawal.

Choice C rationale:

This statement is incorrect. Opioid withdrawal often results in restlessness and agitation, not hypokinesis.

Choice D rationale:

This statement is incorrect. Opioid withdrawal typically results in dilated pupils, not meiosis.

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Correct Answer is D

Explanation

Choice A rationale:

Reinforcing teaching on the client’s use of coping skills is important, but it’s not the first action the nurse should take. The nurse must first ensure the client’s safety.

Choice B rationale:

Encouraging the client to use personal support systems is beneficial, but it’s not the first action. Safety is the priority.

Choice C rationale:

Assisting with a client referral for social services can be helpful, but it’s not the first action. The nurse must first assess for immediate safety risks.

Choice D rationale:

Identifying if the client has thoughts of self-harm is the first action the nurse should take. In a crisis situation, the client’s safety is the priority.

A. Acknowledge an inability to control drinking B. Agree to a prescription for an alcohol use deterrent. C. Incorporate a form of spirituality into daily life. D. Form a close support network.

Correct Answer is A

Explanation

Choice A rationale:

Acknowledging an inability to control drinking is the first step in many recovery models, including the 12-step program of Alcoholics Anonymous. This step involves admitting that alcohol has taken over one’s life.

Choice B rationale:

Agreeing to a prescription for an alcohol use deterrent can be a part of the recovery process, but it is not typically the first step.

Choice C rationale:

Incorporating a form of spirituality into daily life can be a part of the recovery process for some individuals, but it is not typically the first step.

Choice D rationale:

Forming a close support network is crucial in the recovery process, but it comes after acknowledging the problem.

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A nurse is collecting data from a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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A nurse is collecting data from a client who is experiencing opioid withdrawal.
Which of the following manifestations should the nurse expect?.