A nurse is teaching a family member who lives with a client receiving long-term oxycodone how to use the prescribed take-home naloxone (Narcan) 4 mg nasal spray. Which family statement indicates correct understanding?

Take-home naloxone is a key harm-reduction intervention for households where opioid is prescribed or where opioid use disorder is present. Family teaching: (1) recognize the overdose triad — unresponsive, slow or absent breathing (RR less than 10), small or pinpoint pupils, often blue lips or fingertips; (2) call 911 first, then administer naloxone — for nasal spray (Narcan 4 mg) insert the nozzle into one nostril until the fingers touch the nose and press the plunger; the device is single-use and does not need priming; (3) start rescue breathing or chest compressions per training; (4) if there is no response in 2 to 3 minutes, administer a second dose; up to several doses may be needed for fentanyl or methadone because their effect outlasts naloxone — recurrence of respiratory depression (renarcotization) is common; (5) stay with the person until EMS arrives — even if the person wakes, they need medical evaluation; (6) naloxone does not treat addiction, only reverses the acute opioid effect; counseling and ongoing care are needed; (7) lock medications, dispose of unused, and avoid stigma so the family will use the kit when needed.

Call 911, give naloxone, repeat in 2 to 3 minutes if needed, and stay until EMS — opioid often outlasts naloxone. Naloxone reverses the opioid acutely, not addiction.