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    Swedish Institute College Of Health Sciences Medical Surgical Proctored Exam

    A nurse is caring for a client experiencing opioid withdrawal symptoms. Which of the following symptoms should the nurse monitor during this process?

    Explanation & Rationale

    Rationale: A. These are common side effects of opioid use, not withdrawal. During withdrawal, gastrointestinal motility increases and alertness rises, leading to diarrhea, insomnia, and agitation rather than constipation and drowsiness. B. While mild autonomic changes can occur, hypotension is not a hallmark of opioid withdrawal. Hyperactivity may be present in terms of restlessness, but this option does not capture the key constellation of withdrawal symptoms. C. These are classic opioid withdrawal symptoms. Rhinitis (runny nose), yawning, lacrimation, abdominal cramping, diarrhea, restlessness, and agitation are signs of the sympathetic nervous system overactivity that occurs when opioids are abruptly discontinued or doses are missed. These symptoms guide nursing monitoring and support. D. These are common effects of opioid overdose, not withdrawal. Withdrawal typically causes tachycardia, hypertension, and increased respiratory rate, reflecting sympathetic activation

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