A patient is thin, tense, jittery, and has dilated pupils. The patient says, "My heart is pounding in my chest. I need help." The patient allows vital signs to be taken but then becomes suspicious and says, "You could be trying to kill me."
The patient refuses further examination. Abuse of which substance is most likely?
a. PCP
b. Heroin
c. Barbiturates
d. Amphetamines
ANS: D
The physical symptoms are consistent with CNS stimulation. Suspicion and paranoid ideation are also present. Amphetamine use is likely. PCP use would probably result in bizarre, violent behavior. Barbiturates and heroin would result in symptoms of CNS depression.
You might also like to view...
A 6-year-old child has undergone a renal transplant and is receiving cyclosporine. The nurse instructs the parents to be especially alert for which of the following?
A) Weight loss B) Hypotension C) Signs of infection D) Hair loss
The nurse is caring for a patient who will begin taking captopril (Capoten) for hypertension. The nurse reviews the patient's laboratory test results and notes increased BUN and creatinine. Which action will the nurse take?
a. Administer the captopril and monitor vital signs. b. Contact the provider to discuss changing to fosinopril (Monopril). c. Obtain an order for intravenous fluids to improve urine output. d. Request an order to add hydrochlorothiazide (HydroDIURIL).
A nurse is supervising an unlicensed assistive personnel (UAP). The nurse appropriately intervenes when observing the UAP
1. Allowing a patient to wear underwear. 2. Assisting a patient in putting on pajamas. 3. Using a blanket to cover a patient during a bath. 4. Promoting dependence in activities of daily living.
According to kosher dietary law, Orthodox Jews are:
A. Forbidden to eat fish that has fins or scales. B. Forbidden to eat certain vegetables. C. Allowed consumption of carnivorous animals. D. Required to have meat that has been slaughtered and specially prepared.