A nurse is providing an in-service regarding medications that can cause abstinence syndrome. Which of the following medications can cause abstinence syndrome? (Select All That Apply.).

Butorphanol (Stadol)

Buprenorphine (Buprenex)

Oxycodone (Oxycontin)

Naloxone (Narcan)

Answer and Explanation

Correct Answer : A,B

A.   Butorphanol is a mixed opioid agonist-antagonist that can cause withdrawal symptoms in opioid- dependent clients due to its partial antagonism at mu receptors.
B.   Buprenorphine is a partial agonist at mu receptors and can also precipitate withdrawal symptoms in individuals who are opioid-dependent.
C.   Oxycodone is a full agonist and does not cause withdrawal symptoms unless abruptly discontinued in opioid-dependent individuals.
D.   Naloxone is an opioid antagonist used to reverse opioid overdose and is unlikely to cause abstinence syndrome, although it can precipitate withdrawal in opioid-dependent clients when used.

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

Explanation

A. Coma is typically a symptom of opioid overdose, not abstinence syndrome.
B. Pinpoint pupils are commonly associated with opioid toxicity, not abstinence syndrome.
C. Fever is a sign of abstinence syndrome, which can occur after opioid withdrawal.
D. Vomiting is also a symptom of abstinence syndrome, which is a withdrawal reaction that can occur when naloxone reverses opioid effects.

A. Ginger B. Vitamin D C. Feverfew D. Garlic

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

Explanation

A. Ginger is known to increase the risk of bleeding when taken with NSAIDs like aspirin because it has anticoagulant properties that can enhance the bleeding effects.
B. Vitamin D does not have an effect on bleeding and is not associated with an increased risk when taken with NSAIDs.
C. Feverfew also has anticoagulant effects and can increase the risk of bleeding, especially when combined with NSAIDs.
D. Garlic has natural blood-thinning properties and can increase the risk of bleeding, particularly when combined with NSAIDs.

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A nurse is providing an in-service regarding medications that can cause abstinence syndrome. Which of the following medications can cause abstinence syndrome? (Select All That Apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

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

Explanation

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

Explanation

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