A client admitted for a heroin overdose received naloxone, which ...

[ETearle]

A client admitted for a heroin overdose received naloxone, which relieved his altered breathing
  pattern. Two hours later he reported muscle aching and abdominal cramps. He sniffs and points to
  the gooseflesh on his arms.
 
  He says he feels terrible.. Which assessment can be made?
  a. An idiosyncratic reaction to naloxone is occurring.
  b. The client should be monitored closely for seizures.
  c. The client is experiencing a relapse.
  d. Symptoms of narcotic abstinence are present.

Question 2

When group therapy is to be used as a treatment modality, the nurse would suggest placement of a
  child aged 9 years in a therapy group that used
 
  a. play activities exclusively.
  b. group discussion exclusively.
  c. talk focused on a specific issue.
  d. play and talk about the play activity.

[mistyjohnson]

Answer to Question 1

D
The symptoms given in the question are consistent with narcotic withdrawal. Early symptoms of
narcotic withdrawal are flulike in nature. Option A: This is an expected reaction. Naloxone has
caused withdrawal symptoms to appear. Option B: Seizures are more commonly seen in alcohol
withdrawal syndrome. Option C: The client is experiencing withdrawal symptoms.

Answer to Question 2

D
Group therapy for young children takes the form of play. For elementary school children therapy
combines play and talk about the activity. For adolescents, group therapy involves more talking.