A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed that the opioid analgesic is not helping as much as it had previously and more medication is needed for the same pain relief. The nurse is aware that this patient is experiencing which of these?

Opioid abstinence syndrome

Opioid tolerance

Opioid toxicity

Opioid addiction

Answer and Explanation

The Correct Answer is B

Opioid tolerance occurs when the body becomes less responsive to the effects of opioids over time. This means that higher doses of the medication are needed to achieve the same level of pain relief that was previously achieved with lower doses. Opioid tolerance is a common phenomenon in long-term opioid therapy and can occur in patients who have been using opioids for an extended period.

Opioid abstinence syndrome, also known as opioid withdrawal, refers to the set of symptoms that occur when a person abruptly stops or reduces their use of opioids after developing physical dependence.

Opioid toxicity refers to the harmful effects that occur when an individual takes an excessive dose of opioids, leading to potentially life-threatening complications. It is characterized by symptoms such as respiratory depression, sedation, pinpoint pupils, and decreased level of consciousness.

Opioid addiction is a complex condition characterized by compulsive drug-seeking behavior, loss of control over opioid use, and continued use despite negative consequences.

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Correct Answer is A

Explanation

Anaphylaxis is a severe and potentially life-threatening allergic reaction that can lead to a rapid drop in blood pressure, known as hypotension. This drop in blood pressure is a critical indicator of the severity of the reaction and the effectiveness of the treatment provided. The nurse needs to monitor the patient's blood pressure closely to ensure it stabilizes and returns to a safe range.

While oxygen saturation, heart rate, and orientation are also important parameters to assess, they are secondary to blood pressure in evaluating the effectiveness of treatment for anaphylaxis. Oxygen saturation can help determine the adequacy of oxygenation, heart rate can indicate the presence of tachycardia (which may be a sign of an ongoing reaction or hypoperfusion), and orientation can provide information about the patient's mental status and potential complications.

Correct Answer is ["Lithotripsy"," Encourage increased fluid intake"]

Explanation

Lithotripsy and Encourage increased fluid intake are the most important interventions.

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Naxlex Comprehensive Predictor Exams

Which assessment information is most important for the nurse to obtain when evaluating whether treatment of a patient with anaphylactic reaction has been effective?

Correct Answer is A

Explanation

What are the most important nursing interventions for clients with possible renal calculi? List two.

Correct Answer is ["Lithotripsy"," Encourage increased fluid intake"]

Explanation

The nurse is admitting a client diagnosed with acute renal failure (ARF). The nursing assessment will prioritize ...

The nurse is teaching a client with chronic renal failure (CRF) about the use of recombinant human erythropoietin (Epogen) Subcutaneous injections. Which statement indicates the client understands the teaching?

During the first few days after surgery for cleft lip, which intervention should the nurse implement?

The nurse is administering nitroprusside by IV infusion for a client in hypertensive emergency. The nurse knows that the primary assessment will be:

The nurse is caring for an infant with a hip spica cast who has just returned from surgery. Which nursing action will be priority for this patient?

The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which information about the patient is most important to communicate to the health care provider?

The nurse will plan to teach a patient who has pernicious anemia about the need for:

The nurse is caring for an adolescent diagnosed with scoliosis who just arrived to the floor from the recovery room after a Spinal fusion surgery. The nurse should question which physician order?