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 ["B","C"]
Explanation
Choice A rationale
Furosemide is a loop diuretic that inhibits the sodium-potassium-chloride co-transporter in the thick ascending limb of the loop of Henle. This results in significant loss of potassium in the urine.
Choice B rationale
NaoxGhe is not a recognized diuretic or medication and should not be included in any in-service discussion.
Choice C rationale
Spironolactone is a potassium-sparing diuretic that works by antagonizing the effects of aldosterone in the distal tubules, reducing potassium excretion.
Choice D rationale
"None of the above" is not a medication but rather a non-relevant option in this context.
Correct Answer is B
Explanation
Choice A rationale
While metformin is commonly used as a first-line medication for type 2 diabetes, this choice does not specifically address a critical safety concern related to metformin.
Choice B rationale
Metformin can interact with contrast dyes used in imaging studies, increasing the risk of acute renal failure due to lactic acidosis. Patients need to be aware of this interaction to avoid potential complications.
Choice C rationale
Metformin is used to lower blood glucose levels, not increase them. This choice is incorrect.
Choice D rationale
While metformin is associated with less weight gain compared to other diabetes medications, this choice does not address the critical interaction with contrast dye.
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