A patient who was admitted for a heroin overdose received naloxone (Narcan), which improved the breathing pattern. Two hours later, the patient reports muscle aches, abdominal cramps, gooseflesh and says, "I feel terrible." Which analysis is correct?
a. The patient is exhibiting a prodromal symptom of seizures.
b. An idiosyncratic reaction to naloxone is occurring.
c. Symptoms of opiate withdrawal are present.
d. The patient is experiencing a relapse.
ANS: C
The symptoms given in the question are consistent with narcotic withdrawal. Early symptoms of narcotic withdrawal are flulike in nature. Seizures are more commonly observed in alcohol withdrawal syndrome.
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A nurse has been working with a client who witnessed a traumatic event and is now experiencing panic-level anxiety. The desired outcome is:
1. Stated improvement of self-esteem. 2. Absence of anxiety. 3. Hope for the future. 4. Anxiety is maintained at a manageable level.
Interview schedules are generally more effective than questionnaires as a means of obtaining information about socially unacceptable behaviors
A) True B) False
A nurse student states, "I feel good that I put an indwelling catheter in my patient without any problem." This demonstrates which factor affecting self-concept?
A) Culture B) Inadequate coping C) Stress tolerance D) Values
What is the most prominent goal of palliative care?
a. Integrate into chronic disease management sooner rather than later. b. Enroll the patient into the Medicare Hospice Benefit. c. Ensure that the patient has a 6-month prognosis. d. Reserve this type of care until the patient is actively dying.