A nurse is providing care for a pediatric client in the intensive care unit (ICU) who has been on opioids for an extended period of time. Which assessment finding indicates to the nurse that the child is experiencing withdrawal symptoms related to the opioid weaning process?
1. Hyperactive deep tendon reflexes, vomiting, and abdominal cramps.
2. Bradycardia and pallor.
3. Decreased blood pressure and drowsiness.
4. Voracious appetite and hypotonicity.
1
Explanation:
1. These are symptoms of withdrawal resulting from reducing the dose too quickly.
2. A child who is being withdrawn from opioids too quickly will be tachycardic and have hot flashes and sweating.
3. The child who is being withdrawn from opioids too quickly will be hypertensive and wakeful.
4. Nausea, abdominal pain, diarrhea, and hypertonicity would be symptoms of withdrawal.
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