Author Question: The patient is brought to the emergency department in respiratory arrest after overdosing on heroin. ... (Read 89 times)

sheilaspns · **on:** Jul 23, 2018

The patient is brought to the emergency department in respiratory arrest after overdosing on heroin. The person accompanying the patient says he has been using heroin for years.

After being administered one dose of a narcotic antagonist, the patient begins to breathe spontaneously but remains nonresponsive to stimuli so another dose of narcotic antagonist is ordered. What symptoms would indicate the patient is experiencing acute narcotic abstinence syndrome? (Select all that apply.) A) Tachycardia
B) Hypertension
C) Vomiting
D) Confusion
E) Sedation

Question 2

A 30-year-old woman has been diagnosed with leukemia and will be using an immune modulator for treatment. What will be important to discuss with the patient when the nurse provides patient teaching about her treatment?

A) The need to continue oral contraceptives
B) The need to use barrier contraceptives while taking the drug
C) The need to avoid sexual intercourse while taking the drug
D) The importance of taking an aspirin daily to decrease the adverse effects of the drug

jrpg123456 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, B, C
Feedback:
The most common adverse effect is an acute narcotic abstinence syndrome that is characterized by nausea, vomiting, sweating, tachycardia, hypertension, tremulousness, and feelings of anxiety. Confusion and sedation are not associated with acute narcotic abstinence syndrome.

Answer to Question 2

B
Feedback:
A patient taking an immune modulator would be advised to use barrier contraceptives to prevent pregnancy. The interaction of the immune modulator and the oral contraceptive may interfere with the oral contraceptive's ability to work properly. Asking patients to avoid sexual intercourse is not necessary if barrier methods are properly used. Daily aspirin would not decrease adverse effects of this drug.