Which of the following, if observed in a client undergoing barbiturate withdrawal, would require the nurse to contact the physician?
1. Labile BP, lassitude, insomnia
2. Nausea, vomiting, tremors
3. Dilated pupils, flushed skin, diaphoresis
4. Muscle twitching, seizures, delirium
ANS: 4
The most life-threatening symptoms from barbiturate withdrawal are those listed in option 4. The nurse should contact the physician if these occur.
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