A nurse is assessing a client who has a history of opioid abuse and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?

Hypertension, tachycardia, and diaphoresis

Hypotension, bradycardia, and constipation

Hypothermia, lethargy, and miosis

Hyperthermia, agitation, and mydriasis

Answer and Explanation

The Correct Answer is A

Correct answer: a) Hypertension, tachycardia, and diaphoresis

Rationale: Opioid withdrawal symptoms are similar to those of sympathetic nervous system activation and include hypertension, tachycardia, diaphoresis, restlessness, anxiety, muscle aches, nausea, vomiting, and diarrhea.

Incorrect choices:

b) Hypotension, bradycardia, and constipation: These are signs of opioid intoxication or overdose, not withdrawal.

c) Hypothermia, lethargy, and miosis: These are also signs of opioid intoxication or overdose, not withdrawal.

d) Hyperthermia, agitation, and mydriasis: These are signs of stimulant abuse or withdrawal, not opioid withdrawal.

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Correct Answer is B

Explanation

Correct answer: b) Administer flumazenil (Romazicon)

Rationale: Flumazenil is an antidote for benzodiazepine overdose that works by blocking the benzodiazepine receptors in the brain. It can reverse the effects of benzodiazepines such as sedation, respiratory depression, and coma.

Incorrect choices:

a) Administer naloxone (Narcan): Naloxone is an antidote for opioid overdose that works by displacing opioids from their receptors in the brain. It has no effect on benzodiazepines or their receptors.

c) Administer activated charcoal: Activated charcoal is a substance that binds to drugs or toxins in the gastrointestinal tract and prevents their absorption into the bloodstream. It may be useful for some cases of drug overdose, but it is not effective for benzodiazepines as they are rapidly absorbed and distributed in the body.

d) Administer acetylcysteine (Mucomyst): Acetylcysteine is an antidote for acetaminophen overdose that works by replenishing glutathione, a substance that helps detoxify acetaminophen in the liver. It has no effect on benzodiazepines or their metabolism.

A. Ibuprofen (Advil) B. Levothyroxine (Synthroid) C. Omeprazole (Prilosec) D. Metformin (Glucophage)

Correct Answer is A

Explanation

Correct answer: a) Ibuprofen (Advil)

Rationale: Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the blood levels of lithium by reducing its renal excretion. This can result in lithium toxicity, which can cause nausea, vomiting, tremors, confusion, and seizures.

Incorrect choices:

b) Levothyroxine (Synthroid): Levothyroxine and other thyroid hormones do not interact with lithium.

c) Omeprazole (Prilosec): Omeprazole and other proton pump inhibitors (PPIs) do not interact with lithium.

d) Metformin (Glucophage): Metformin and other antidiabetic drugs do not interact with lithium.

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A nurse is assessing a client who has a history of opioid abuse and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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