A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

Coma

Pinpoint pupils

Fever

Vomiting

Answer and Explanation

Correct Answer : C,D

A.   Coma is typically a symptom of opioid overdose, not abstinence syndrome.
B.   Pinpoint pupils are commonly associated with opioid toxicity, not abstinence syndrome.
C.   Fever is a sign of abstinence syndrome, which can occur after opioid withdrawal.
D.   Vomiting is also a symptom of abstinence syndrome, which is a withdrawal reaction that can occur when naloxone reverses opioid effects.

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Correct Answer is A

Explanation

A. Acetaminophen is contraindicated in clients with alcohol use disorder because chronic alcohol use increases the risk of liver damage, and acetaminophen can cause hepatotoxicity.
B. Acetaminophen does not have a direct contraindication with asthma.
C. Acetaminophen is safe for clients with diabetes unless there are other contraindications or liver issues.
D. Heart failure is not a contraindication for acetaminophen, but caution should be used in cases of severe liver disease, which may be related to heart failure.

A. "After taking this medication, you must lie down flat for at least 30 hours." B. "You should take this medication before going to bed after a large meal." C. "After taking this medication, you should sit up or ambulate for at least 30 minutes.” D. "You should chew on this medication and take it after breakfast"

Correct Answer is C

Explanation

A. After taking alendronate, clients should not lie down flat for at least 30 minutes to avoid esophageal irritation and potential damage.
B. Alendronate should be taken before breakfast, but the client should not lie down afterward. It should be taken on an empty stomach.
C. The correct instruction is to sit up or ambulate for at least 30 minutes after taking alendronate. This prevents esophageal irritation and ensures proper absorption.
D. Alendronate is typically taken whole with a full glass of water, not chewed, and should not be taken after meals.

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A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

Correct Answer is A

Explanation

A nurse is educating a client with a new prescription of alendronate (Fosamax) for osteoporosis. Which of the following statements should the nurse include in her patient's education about this medication?

Correct Answer is C

Explanation

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

A client has a new prescription for cyclobenzaprine (Flexeril). Which of the following statements should the nurse include as a therapeutic indication for this medication?

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

A nurse is caring for a client with a prescription for celecoxib (Celebrex). The nurse tells the client to report which of the following adverse drug reactions?

Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

A nurse is educating a client about dantrolene (Dantrium). Which of the following statements indicate the appropriate therapeutic use of this medication?