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 A
Explanation
Choice A rationale
Waiting at least 5 minutes between puffs allows the first dose to take effect, optimizing absorption and reducing side effects when different inhaled medications are used.
Choice B rationale
Waiting 10 minutes between puffs is unnecessary and might reduce adherence to treatment due to the prolonged interval.
Choice C rationale
"None of the above" does not provide a valid education point for using metered-dose inhalers.
Choice D rationale
"All of the above" is incorrect as it includes a recommendation that is not necessary (waiting 10 minutes). .
Correct Answer is A
Explanation
Choice A rationale
Digoxin immune fab (Digibind) is an antidote used to treat digoxin toxicity, which can present with symptoms like blurred vision, vomiting, and weight loss.
Choice B rationale
Acetaminophen is a pain reliever and fever reducer, which does not treat digoxin toxicity.
Choice C rationale
Warfarin is an anticoagulant used to prevent blood clots, not to treat digoxin toxicity.
Choice D rationale
Insulin is used to control blood sugar levels and is not related to treating digoxin toxicity.
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