A nurse is collecting data from a client who is experiencing opioid toxicity. Which of the following findings should the nurse expect?
Diaphoresis
Pupillary dilation
Chest pain
Hypotension
The Correct Answer is D
Opioid toxicity causes central nervous system and respiratory depression, which can lead to low blood pressure or hypotension.
Choice A. Diaphoresis is not correct because opioid toxicity does not cause excessive sweating. Diaphoresis can be a sign of opioid withdrawal or other conditions.
Choice B. Pupillary dilation is not correct because opioid toxicity causes miosis or pinpoint pupils due to the stimulation of the parasympathetic nervous system .
Choice C. Chest pain is not correct because opioid toxicity does not cause chest pain. Chest pain can be a sign of cardiac ischemia, pulmonary embolism, or other serious conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Aprepitant is an antiemetic medication used to prevent nausea and vomiting associated with chemotherapy. Choice A is incorrect because decreased dysrhythmias is not a therapeutic effect of aprepitant. Choice C is incorrect because decreased incisional pain is not a therapeutic effect of aprepitant. Choice D is incorrect because absence of dizziness is not a therapeutic effect of aprepitant. Choice A is not correct because decreased dysrhythmias is not a therapeutic effect of aprepitant. Choice C is not correct because decreased incisional pain is not a therapeutic effect of aprepitant. Choice D is not correct because absence of dizziness is not a therapeutic effect of aprepitant.
Correct Answer is D
Explanation
The correct answer is choice D. The nurse should identify an oral temperature of 39°C (102.2°F) as the priority finding in a client who is postoperative following a total thyroidectomy for hyperthyroidism. An elevated temperature can indicate infection, which is a risk after surgery. The nurse should report this finding to the provider immediately.
Choices A, B, and C are incorrect because moderate amount of serosanguineous drainage on dressings, serum calcium level 9.2 mg/dL, and report of a sore throat, respectively, are expected findings after a total thyroidectomy and do not require immediate action.
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