A nurse is providing an in-service on the complications of naloxone (Narcan), such as abstinence syndrome. Which of the following signs and symptoms should the nurse include in her in-service about abstinence syndrome?
Pinpoint pupils, coma, and respiratory depression.
Sedation, fixed pupils, and nausea,
Fever, hypertension, vomiting, anxiety, and abdominal cramping
Hyperventilation, depression, and constipation.
The Correct Answer is C
A. Pinpoint pupils, coma, and respiratory depression: These are signs of opioid overdose, not abstinence syndrome.
B. Sedation, fixed pupils, and nausea: This may be associated with opioid overdose, not withdrawal.
C. Fever, hypertension, vomiting, anxiety, and abdominal cramping: These are classic symptoms of abstinence syndrome (withdrawal symptoms) after naloxone administration.
D. Hyperventilation, depression, and constipation: These are not typical signs of abstinence syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This medication inhibits COX-2 receptors only: Celecoxib is a selective COX-2 inhibitor used to reduce inflammation and pain.
B. This medication inhibits mu and kappa receptors: Celecoxib does not affect opioid receptors.
C. This medication inhibits kappa receptors only: Celecoxib does not target kappa receptors.
D. This medication inhibits COX receptors only: Celecoxib specifically targets COX-2, not all cyclooxygenase receptors.
Correct Answer is B
Explanation
A. This is not the correct action because the issue with misoprostol in pregnancy is not related to the route of administration, but rather its potential to cause uterine contractions and harm to the pregnancy. The nurse should not administer the medication at all, regardless of the route, and should notify the physician for further clarification.
B. Misoprostol is contraindicated in pregnancy because it can cause uterine contractions, which may result in a miscarriage or preterm labor. The nurse should not administer this medication and must inform the healthcare provider to reconsider the prescription or explore alternative options to prevent stomach ulcers in pregnant clients.
C. Administering misoprostol to a pregnant client is dangerous, as it can stimulate uterine contractions and threaten the pregnancy. Monitoring for adverse reactions would not be an appropriate course of action, as the medication should not be given to begin with.
D. Even though verifying the patient's identity is always an important step, the main concern here is that misoprostol is contraindicated during pregnancy. The nurse should not administer this medication and must first clarify with the healthcare provider if it is suitable for the pregnant patient.
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