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 D

Explanation

A. Diarrhea is a known side effect of celecoxib but not typically a sign of a serious reaction.
B. Headache is a mild side effect that may occur with celecoxib use but is not a severe adverse reaction.
C. Nausea is a common side effect of many medications, including celecoxib, but is not a critical issue unless severe.
D. Chest pressure could indicate cardiovascular problems, which is a serious adverse effect of celecoxib and other COX-2 inhibitors. Clients should report this immediately, as it may indicate a risk for myocardial infarction or stroke.

A. Analyze Cues B. Acetaminophen C. Alendronate D. Naloxone E. Morphine sulfate

Correct Answer is B

Explanation

A. Acetaminophen is an over-the-counter pain reliever commonly used to reduce mild to moderate pain, such as headaches or muscle aches. It does not treat osteoporosis. It may help with pain associated with bone fractures or discomfort from osteoporosis but does not impact bone density or prevent fractures.
B. Alendronate (brand name Fosamax) is a bisphosphonate used specifically to treat and prevent osteoporosis, particularly in postmenopausal women. It works by inhibiting bone resorption (the process by which bone is broken down and minerals are released into the bloodstream), thereby increasing bone density and reducing the risk of fractures.
C. Naloxone (brand name Narcan) is an opioid antagonist used to reverse opioid overdoses. It has no role in the treatment or prevention of osteoporosis. This medication is used in emergency settings to counteract respiratory depression caused by opioid overdose and should not be used for osteoporosis treatment.
D. Morphine sulfate is a narcotic analgesic used to manage severe pain. While it may be used for pain relief in individuals with osteoporosis who have experienced a fracture or severe pain, it does not treat the underlying condition of osteoporosis.

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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 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?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A nurse is providing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. Which of the following options DOES NOT indicate an adverse effect of 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 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 preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. Which of the route should the nurse NOT administer this medication?

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)?

A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).

A nurse is teaching a client about a new prescription for Ibuprofen (Motrin) Which of the following information should the nurse include in the teaching?

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