The nurse is caring for a client who received a high amount of fentanyl three hours ago. The nurse understands that she should anticipate a prescription for naloxone (Narcan). Which of the following signs is suggestive of opioid toxicity triad?
Respiration rate of 7 breaths per minute
Anxiety
Fever
Hypertension
The Correct Answer is A
A. Respiratory depression is a hallmark sign of opioid toxicity. A rate of 7 breaths per minute indicates severe respiratory depression, which can be life-threatening and requires immediate intervention with naloxone.
B. Anxiety is not typically associated with opioid toxicity, but rather may be a sign of withdrawal or other conditions.
C. Fever is not a sign of opioid toxicity. It may be a sign of infection or other medical issues.
D. Hypertension is not typical of opioid toxicity; opioids usually cause hypotension, not hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Aspirin is not indicated for the treatment of hypoglycemia.
B. Aspirin is commonly used for inflammation suppression, especially in conditions like arthritis.
C. Aspirin is also used to treat dysmenorrhea (painful menstruation) by reducing inflammation and pain.
D. Aspirin is not indicated for the treatment of hypokalemia.
Correct Answer is A
Explanation
A. Relief of spasticity related to cerebral palsy, spinal cord injury, and multiple sclerosis: Baclofen is a muscle relaxant that is commonly used to treat spasticity in conditions such as cerebral palsy, spinal cord injury, and multiple sclerosis.
B. Treatment of benign prostatic hyperplasia (BPH): Baclofen is not used for BPH.
C. Treatment of malignant hyperthermia: Baclofen is not used to treat malignant hyperthermia.
D. Treatment of alcohol use disorder: Baclofen is not a primary treatment for alcohol use disorder, though some research has explored its use in this context.
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