A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids.

Which of the following findings should the nurse identify as a manifestation of opioid intoxication?

Tachycardia

Mental alertness

Hyperreﬂexia

Pinpoint pupils

Answer and Explanation

The Correct Answer is D

d. Pinpoint pupils.

Explanation:

Opioid intoxication is characterized by various signs and symptoms, including central nervous system depression. One common manifestation of opioid intoxication is pinpoint pupils (miosis), which is caused by the eﬀect of opioids on the pupillary constrictor muscles. The pupils become constricted and appear as small dots, hence the term "pinpoint."

The other options are not typical manifestations of opioid intoxication. Tachycardia (rapid heart rate) is more commonly associated with stimulant use rather than opioids. Mental alertness is typically reduced in cases of opioid intoxication, as opioids cause sedation and CNS depression. Hyperreﬂexia (exaggerated reﬂexes) is not a typical finding in opioid intoxication; instead, it may occur in withdrawal from certain substances such as alcohol or benzodiazepines.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

When administering a tap water enema, the client should be assisted to a right Sims position. This position involves lying on the left side with the right knee bent toward the chest.

The other options are not correct because:

a) The client should not bear down during rectal tube insertion.

b) Administering a second enema if results are not clear is not mentioned as a safety precaution.

d) The rectal tube should be inserted in the direction of the sacrum, not the umbilicus.

A. "I will secure the seatbelt across my newborn's lap." B. "I can move my child to a booster seat when she weighs 20 pounds." C. "I will turn the car seat forward-facing when my child is 10 months old." D. "I can place a rolled towel on each side of my newborn's head until he can hold his head up."

Correct Answer is D

Explanation

The statement by the parent that they can place a rolled towel on each side of their newborn's head until he can hold his head up indicates an understanding of the teaching. This is a safe and appropriate way to provide support for the newborn's head while in a car seat.

a) Securing the seatbelt across the newborn's lap is not safe. The seatbelt should be positioned across the newborn's chest and over their hips.

b) Moving a child to a booster seat when they weigh 20 pounds is not safe. Children should remain in a rear-facing car seat until they are at least 2 years old or until they reach the highest weight or height allowed by the car seat's manufacturer.

c) Turning the car seat forward-facing when the child is 10 months old is not safe. Children should remain in a rear-facing car seat until they are at least 2 years old or until they reach the highest weight or height allowed by the car seat's manufacturer.

View Question and Answer

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

A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids. Which of the following findings should the nurse identify as a manifestation of opioid intoxication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by a parent indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

A nurse in the newborn nursery is collecting data about a newborn's Moro reﬂex. Which of the following actions should the nurse take to elicit this reﬂex?

A nurse receives report on four clients. The nurse should first collect data about the client who has which of the following?

A nurse is preparing a client's insulin regimen. Which of the following insulins can be mixed? (Select all that apply.)

A nurse is contributing to the plan of care for an older adult client. Which of the following physiological changes should the nurse recommend considering when administering medication?

A nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following should the nurse include as an expected eﬀect of this medication?

A nurse is reinforcing discharge teaching with a client who had an above-the-knee amputation and has a prosthesis. Which of the following instructions should the nurse include?

A nurse is reinforcing discharge teaching with a client who is postoperative following laser surgery for open- angle glaucoma. Which of the following statements by the client indicates an understanding of the instructions?

A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids.

Which of the following findings should the nurse identify as a manifestation of opioid intoxication?