The nurse is caring for a client who received a high amount of fentanyl three hours ago. The nurse understands that she should anticipate a prescription for naloxone (Narcan). Which of the following signs is suggestive of opioid toxicity triad?

A. Respiratory depression is a hallmark sign of opioid toxicity. A rate of 7 breaths per minute indicates severe respiratory depression, which can be life-threatening and requires immediate intervention with naloxone. B. Anxiety is not typically associated with opioid toxicity, but rather may be a sign of withdrawal or other conditions. C. Fever is not a sign of opioid toxicity. It may be a sign of infection or other medical issues. D. Hypertension is not typical of opioid toxicity; opioids usually cause hypotension, not hypertension.