The nurse is caring for a client who has been using barbiturates at high doses for a long period of time. What does the nurse expect when assessing this client? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Tremors
2. Tolerance
3. Psychological dependence
4. Physical dependence
5. Hallucinations
Correct Answer: 2, 3, 4
Rationale 1: Tremors are not caused by barbiturates.
Rationale 2: Tolerance is caused by barbiturates.
Rationale 3: Psychological dependence is caused by barbiturates.
Rationale 4: Physical dependence is caused by barbiturates.
Rationale 5: Hallucinations are not often caused by long-term barbiturate use.
Global Rationale: Tolerance, psychosocial dependence, and physical dependence can all result from long term barbiturate use. Tremors and hallucinations are not caused by long term barbiturate use.
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