Practice Question
A nurse is caring for a client in the emergency department.
Answer Choices:
Rationale:
🔷 Clinical picture: The client was found unresponsive, pulseless, with a needle in the antecubital space. Responded to naloxone, a reversal agent for opioids → strongly indicates opioid overdose.
🔷 Respiratory depression: RR 10/min (low) with drowsiness and inability to stay awake → hallmark of opioid intoxication.
🔷 Pupil findings: Miotic (pinpoint pupils) are the classic opioid intoxication sign. Alcohol intoxication would not typically cause pinpoint pupils.
🔷 Amount of alcohol consumed: One beer is insufficient to explain this level of CNS depression, ruling out alcohol intoxication.
🔷 Withdrawal vs intoxication: Withdrawal from opioids/alcohol usually causes tachycardia, hypertension, agitation, diaphoresis, tremors, not sedation and pinpoint pupils. This client has depression of CNS and respirations, consistent with intoxication.
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This question is from RN Comprehensive Predictor 2023 Exam which contains 162 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI EXIT Exam(s)
- Domain: RN ATI Comprehensive Predictor Exam(s)~2023
- Answer Choices: 0