The nurse is caring for a client who received a high amount of fentanyl three hours ago. The nurse understands that she should anticipate a prescription for naloxone (Narcan). Which of the following signs is suggestive of opioid toxicity triad?

Respiration rate of 7 breaths per minute

Anxiety

Fever

Hypertension

Answer and Explanation

The Correct Answer is A

A.   Respiratory depression is a hallmark sign of opioid toxicity. A rate of 7 breaths per minute indicates severe respiratory depression, which can be life-threatening and requires immediate intervention with naloxone.
B.   Anxiety is not typically associated with opioid toxicity, but rather may be a sign of withdrawal or other conditions.
C.   Fever is not a sign of opioid toxicity. It may be a sign of infection or other medical issues.
D.   Hypertension is not typical of opioid toxicity; opioids usually cause hypotension, not hypertension.

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Correct Answer is B

Explanation

A. Omeprazole is not used for motion sickness. It is a proton pump inhibitor used to treat gastric acid- related conditions.
B. Omeprazole is used to prevent and treat gastric ulcers, including stress ulcers that may occur in critically ill patients.
C. Omeprazole is used to treat conditions like GERD, ulcers, and Zollinger-Ellison syndrome, not just heartburn.
D. Omeprazole is not used to treat nausea and vomiting. It reduces gastric acid production to treat acid- related conditions.

A. an allergic reaction. B. a synergistic effect. C. an antagonistic effect. D. None of the above

Correct Answer is C

Explanation

A. An allergic reaction: An allergic reaction is an immune response, not the reduction of drug effect.
B. A synergistic effect: A synergistic effect occurs when two drugs enhance each other's effects.
C. An antagonistic effect: An antagonistic effect occurs when one drug reduces or counteracts the effect of another drug.
D. None of the above: The correct term is "antagonistic effect."

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The nurse is caring for a client who received a high amount of fentanyl three hours ago. The nurse understands that she should anticipate a prescription for naloxone (Narcan). Which of the following signs is suggestive of opioid toxicity triad?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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)?

Correct Answer is B

Explanation

The nurse is educating a client about taking a tetracycline along with an antacid. The nurse explains to the client not to take these two medications because the antacid can reduce the absorption of the tetracycline. When one drug reduces the effect of another, it is:

Correct Answer is C

Explanation

Which of the following phases of pharmacokinetics is described as the removal of the drug or its metabolites through the kidneys, gastrointestinal tract, skin, or lungs?

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The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?

A nurse is preparing to administer a medication to a client for motion sickness. Which of the following medications has therapeutic use in treating motion sickness?

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