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.
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Related Questions
Correct Answer is D
Explanation
Rationale
A. Celecoxib is a second-generation NSAID that specifically inhibits COX-2 enzymes and is less likely to cause gastrointestinal side effects compared to first-generation NSAIDs.
B. Morphine sulfate is an opioid analgesic and does not have NSAID properties. It works by binding to opioid receptors to relieve pain.
C. Metformin is an oral medication used to manage blood glucose in type 2 diabetes and is not an NSAID.
D. Ibuprofen is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes, reducing pain, inflammation, and fever.
Correct Answer is B
Explanation
A. Vomiting is not typically associated with extrapyramidal symptoms (EPS). However, prochlorperazine is used to prevent nausea and vomiting, so vomiting would not be related to EPS.
B. Restlessness (also called akathisia) is a common symptom of EPS, which is a movement disorder that can occur as a side effect of antipsychotic medications like prochlorperazine. Other symptoms may include tremors, rigidity, and bradykinesia.
C. Pulmonary edema is not a sign of EPS. It is a serious condition involving fluid accumulation in the lungs, typically related to heart failure or other serious health conditions.
D. Nausea is not a sign of EPS. While prochlorperazine is used to treat nausea, EPS symptoms typically involve abnormal movements or muscle control issues.
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