A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?

Tachycardia

Sedation

Dilated pupils

Tachypnea

Answer and Explanation

The Correct Answer is B

A. Tachycardia: Bradycardia, rather than tachycardia, is more typical of opioid toxicity.
B. Sedation: Oxycodone toxicity causes CNS depression, resulting in sedation, respiratory depression, and pinpoint pupils.
C. Dilated pupils: Pinpoint pupils are a classic sign of opioid toxicity.
D. Tachypnea: Respiratory depression, rather than tachypnea, is expected in opioid toxicity.

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Correct Answer is A

Explanation

A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds).: This is significantly elevated and indicates a risk for bleeding, as the therapeutic range for heparin is typically 1.5–2.5 times the normal value.
B. A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1): This is within the therapeutic range for most conditions treated with warfarin (e.g., 2.0–3.0).
C. A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds): This is slightly elevated but still within the therapeutic range for heparin (typically 60–80 seconds).
D. A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1): This is within the therapeutic range for most warfarin indications.

A. Dry cough B. Elevated blood pressure C. Stooped posture D. Slurred speech

Correct Answer is D

Explanation

A. Dry cough: This is not typically associated with lithium toxicity and may indicate another issue, such as a respiratory infection.
B. Elevated blood pressure: Lithium toxicity usually results in hypotension, not elevated blood pressure.
C. Stooped posture: This is not a typical sign of lithium toxicity.
D. Slurred speech: Slurred speech can be an early sign of lithium toxicity, indicating that the medication level is too high.

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A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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