A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
a. slurred speech, excessive drowsiness, and bradycardia
b. paranoid delusions, tactile hallucinations, and panic
c. runny nose, yawning, insomnia, and chills
d. anxiety, agitation, and aggression
ANS: C
Early signs and symptoms of narcotic withdrawal resemble symptoms of onset of a flulike illness, minus the temperature elevation. The incorrect options reflect signs of intoxication or CNS depressant overdose and CNS stimulant or hallucinogen use.
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