A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following findings should the nurse expect?
Slurred speech
Constricted pups
Sedation
Yawning
The Correct Answer is D
A. Slurred speech: Slurred speech is typically associated with intoxication from central nervous system depressants, such as alcohol or opioids, rather than withdrawal. During withdrawal, the client is more likely to exhibit hyperactive or restless behavior.
B. Constricted pupils: Pupillary constriction (miosis) occurs with opioid intoxication. In contrast, opioid withdrawal usually causes dilated pupils (mydriasis) due to sympathetic nervous system overactivity.
C. Sedation: Sedation is a common effect of opioid use, not withdrawal. During withdrawal, clients are generally hyperalert, restless, and may experience insomnia rather than excessive sleepiness.
D. Yawning: Yawning is a classic sign of opioid withdrawal and reflects autonomic nervous system activation. It is often accompanied by lacrimation, rhinorrhea, sweating, and other early withdrawal symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Speak to a first-level manager about the social media post: Reporting the social media post to a first-level manager ensures that the situation is handled through proper administrative and professional channels. This protects client confidentiality, aligns with HIPAA regulations, and maintains professional accountability.
B. Gather additional information from other colleagues: Seeking additional information from peers may violate confidentiality and is not an appropriate method for addressing potential breaches of client privacy. The concern should be escalated through formal reporting channels rather than informal investigation.
C. Inform the client about the social media post: Directly informing the client may not be appropriate without guidance from administration or risk management, as it could complicate investigation or legal procedures. The issue should first be reported to management for proper handling.
D. Ask the colleague why the information was posted: Confronting the colleague directly could lead to defensiveness, workplace conflict, or compromised evidence. The appropriate first step is to report the concern to a supervisor rather than attempt immediate resolution with the colleague.
Correct Answer is ["A","B","D"]
Explanation
A. Wear a lead apron when providing care: Lead aprons help protect the nurse from radiation exposure when providing close care to a client with a sealed radiation implant. This is a standard safety precaution in managing patients receiving internal radiation therapy.
B. Close the door to the client's room: Keeping the door closed limits unnecessary exposure to radiation for other clients and staff in the unit. It also helps maintain a controlled environment for infection and radiation safety.
C. Place the client in a semi-private room: Clients with sealed radiation implants should be placed in a private room to minimize radiation exposure to other patients and staff. Semi-private rooms increase the risk of unnecessary exposure and are not recommended.
D.This is an application of Time. The risk of radiation damage is cumulative. By restricting visits to 30 minutes per 24-hour period, the facility ensures that guests stay well below the threshold for accidental radiation injury.
E.This is incorrect for two reasons. First, pregnant women and children under the age of 18 are generally prohibited from visiting a client with a radiation implant due to the high sensitivity of developing fetal and juvenile tissues. Second, even for authorized visitors, the safe distance is at least 6 feet (2 meters), not 3 feet.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
