A client admitted for a heroin overdose received naloxone, which relieved his altered breathing
pattern. Two hours later he reported muscle aching and abdominal cramps. He sniffs and points to
the gooseflesh on his arms.
He says he feels "terrible.". Which assessment can be made?
a. An idiosyncratic reaction to naloxone is occurring.
b. The client should be monitored closely for seizures.
c. The client is experiencing a relapse.
d. Symptoms of narcotic abstinence are present.
D
The symptoms given in the question are consistent with narcotic withdrawal. Early symptoms of
narcotic withdrawal are flulike in nature. Option A: This is an expected reaction. Naloxone has
caused withdrawal symptoms to appear. Option B: Seizures are more commonly seen in alcohol
withdrawal syndrome. Option C: The client is experiencing withdrawal symptoms.
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On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore
The nurse bases subsequent nursing interventions on what diagnosis? a. Disturbed body image related to removal of her breast b. Deficient knowledge related to inadequate education c. Impaired social interaction related to depression d. Fear related to the cancer diagnosis and surgical intervention
When assessing an older adult client for pain, the nurse should recognize which of these statements as TRUE?
a. Older clients often do not report pain for fear of being considered "complainers." b. Older clients request pain medication more frequently to prevent complications. c. Older clients believe that taking pain medication will hasten death. d. Older clients have little experience with the increased efficacy of current pain medications.
A client is diagnosed with springtime allergic conjunctivitis. The nurse would expect which of the following to be prescribed?
A) Brimonidine (Alphagan) B) Gatifloxacin (Zymar) C) Betaxolol (Betoptic) D) Pemirolast (Alamast)
The nurse is collecting data from a patient who complains of having urinary frequency. When reviewing the patient's health history, the nurse would be prompted to inquire about the patient's intake of:
a. red meat. b. caffeine. c. over-the-counter cold remedies. d. tomato juice.