A nurse is providing an in-service on the complications of overdosing on morphine, such as the opioid toxicity triad. Which of the following signs and symptoms should the nurse include in her in-service about opioid toxicity triad?

Coma, respiratory alkalosis, and regular pupils.

Pinpoint pupils, respiratory depression, and coma.

Pinpoint pupils, hypertension, and constipation.

Constipation, pupillary dilation, and hypotension.

Answer and Explanation

The Correct Answer is B

A.   Coma, respiratory alkalosis, and regular pupils: These are not indicative of opioid toxicity. Opioid toxicity typically leads to respiratory depression and constricted pupils.
B.   Pinpoint pupils, respiratory depression, and coma: This is the classic triad of opioid toxicity. Pinpoint pupils, respiratory depression, and coma are hallmark signs.
C.   Pinpoint pupils, hypertension, and constipation: Hypertension is not a typical feature of opioid overdose; hypotension is more common.
D.   Constipation, pupillary dilation, and hypotension: Constipation is common with opioids but pupillary dilation and hypotension are not part of the typical toxicity triad.

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Correct Answer is ["B","C"]

Explanation

A. Urinary output of 80 mL/hour is not concerning and indicates adequate renal function.
B. Urinary output of 12 mL/hour is very low and may indicate renal insufficiency or dehydration, requiring immediate intervention.
C. A blood potassium level of 2.5 mEq/L is critically low and requires discontinuation of the diuretic to prevent life-threatening arrhythmias.
D. A blood potassium level of 2.9 mEq/L is also low and would be concerning, though not as critical as
2.5 mEq/L. It may still necessitate withholding the medication and addressing electrolyte imbalances.

A. Continue taking the medication as prescribed. B. Take two doses the next two days and use an additional form of contraception for 7 days. C. Take one dose as soon as possible, continue ora contraceptive regimen, use additional contraception for 7 days D. Use an alternative form of contraception only.

Correct Answer is B

Explanation

A. Continue taking the medication as prescribed: Missing doses requires specific action.
B. Take two doses the next two days and use an additional form of contraception for 7 days: Missing two days of active pills requires the client to take two pills for the next two days and use backup contraception for 7 days.
C. Take one dose as soon as possible, continue oral contraceptive regimen, use additional contraception for 7 days: While taking one dose is correct, the second dose for two days is needed.
D. Use an alternative form of contraception only: An alternative method is necessary, but taking two pills for two days is also important.

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A nurse is providing an in-service on the complications of overdosing on morphine, such as the opioid toxicity triad. Which of the following signs and symptoms should the nurse include in her in-service about opioid toxicity triad?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer furosemide (Lasix) to a client. Which of the following findings should the nurse hold the medication and notify the provider? (Select All That Apply.).

Correct Answer is ["B","C"]

Explanation

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Correct Answer is B

Explanation

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