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 ["A","D"]

Explanation

A. A client with a history of thromboembolic disease: Estrogen therapy is contraindicated in clients with a history of thromboembolic disease due to the increased risk of blood clots.
B. A client with a history of hypertension: Hypertension is a relative contraindication, but it may still be prescribed with caution.
C. A client with a history of depression: Depression is not a contraindication to estrogen therapy.
D. A client with atypical vaginal bleeding that is not diagnosed: Unexplained vaginal bleeding should be investigated before administering estrogen therapy.

A. Digoxin B. Sildenafil C. Lactulose D. Spironolactone

Correct Answer is C

Explanation

A. Digoxin: This medication is used for heart failure and atrial fibrillation, not for constipation.
B. Sildenafil: This medication is used to treat erectile dysfunction, not constipation.
C. Lactulose: Lactulose is an osmotic laxative commonly used to treat constipation. It works by drawing water into the stool to make bowel movements easier.
D. Spironolactone: Spironolactone is a potassium-sparing diuretic used to treat heart failure and fluid retention, not constipation.

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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 providing teaching to a female client who is taking conjugated equine estrogens (Premarin). Which of the following clients are contraindicated for conjugated equine estrogens (Premarin)? (Select All That Apply).

Correct Answer is ["A","D"]

Explanation

Correct Answer is C

Explanation

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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?

A nurse is caring for a client that is newly prescribed with omeprazole (Prilosec). Which of the following options is a correct indication for omeprazole Prilosec)?