A client in the intensive care unit has a presentation of pinpoint pupils, respiratory depression, and coma after overdosing on morphine sulfate (Astramorph). Which of the following is the appropriate complication based on the client's presentation?
Opioid toxicity triad.
Orthostatic hypotension.
Hypertension.
Abstinence syndrome.
The Correct Answer is A
Choice A rationale
Opioid toxicity triad includes symptoms of pinpoint pupils, respiratory depression, and coma. These symptoms are indicative of a morphine sulfate overdose.
Choice B rationale
Orthostatic hypotension is a form of low blood pressure that happens when standing up from sitting or lying down. It is not related to opioid toxicity.
Choice C rationale
Hypertension is high blood pressure. It is not related to opioid toxicity.
Choice D rationale
Abstinence syndrome is a group of symptoms that occur upon the abrupt discontinuation or decrease in intake of medications or recreational drugs. It is not the appropriate complication for the client's presentation. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Spironolactone is a potassium-sparing diuretic that acts on the collecting ducts and late distal tubules but not on the loop of Henle.
Choice B rationale
Hydrochlorothiazide is a thiazide diuretic that works on the distal convoluted tubule, not the loop of Henle.
Choice C rationale
Furosemide is a loop diuretic that acts on the ascending limb of the loop of Henle to inhibit sodium and chloride reabsorption, leading to increased urine output.
Choice D rationale
Mannitol is an osmotic diuretic that primarily acts on the proximal tubule and the descending limb of the loop of Henle.
Correct Answer is C
Explanation
Choice A rationale
Alkylating agents are cytotoxic and work by damaging DNA, preventing cancer cell replication.
Choice B rationale
Antitumor antibiotics are cytotoxic and interfere with DNA or RNA synthesis, inhibiting cancer cell growth.
Choice C rationale
Opiate antagonists are not used in cancer treatment but to reverse opioid overdoses by blocking opioid receptors.
Choice D rationale
Antimetabolites are cytotoxic and interfere with DNA and RNA growth by substituting for the normal building blocks of RNA and DNA.
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