Question: When a recently hospitalized client has a tentative diagnosis of opioid addiction, the nurse should assess the client for signs and symptoms related to opioid withdrawal. List them in the order that they will occur as the client progresses through withdrawal.
1. Runny nose
2. Muscle twitching
3. Return of appetite
4. Flulike syndromes
Rationale: When opioids, which are CNS depressants, are withdrawn initially the client will experience a runny nose (rhinorrhea), tearing of the eyes (lacrimation), diaphoresis, yawning, and irritability. As withdrawal progresses a rebound hyperexcitability precipitates muscle twitching, restlessness, hypertension, tachycardia, temperature irregularities, tremors, and loss of appetite. Finally, flulike symptoms, insomnia and yawning occur. Once withdrawal is complete the appetite returns, vital signs become stable, and other withdrawal signs and symptoms subside and eventually disappear.
This week’s NCLEX exam practice question came from:
Nugent: Mosby's Review Questions for the NCLEX-RN Exam, 7th edition , Chapter 3, page 237, question 424
No comments:
Post a Comment