The client is withdrawing from opioids. Which symptoms best describe the results of the nurse's assessment?
Standard Text: Select all that apply.
1. Abdominal cramping and pain
2. Dilated pupils
3. Pinpoint pupils
4. Diaphoresis
5. Hypotension
Correct Answer: 1,2,4
Rationale 1: Signs of opioid withdrawal include abdominal cramps and pain.
Rationale 2: The pupils will be dilated during opioid withdrawal, but will appear pinpoint when the client is using opioids.
Rationale 3: The pupils will be dilated during opioid withdrawal, but will appear pinpoint when the client is using opioids.
Rationale 4: Signs of opioid withdrawal include diaphoresis.
Rationale 5: The blood pressure will be elevated during opioid withdrawal but will be decreased when the client is using opioids.
Global Rationale: Signs of opioid withdrawal include abdominal cramp, pain, pupil dilation, and diaphoresis. Pupils will appear pinpoint when the client is using opioids, not during withdrawal. The blood pressure will be elevated during opioid withdrawal but will be decreased when the client is using opioids.
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