A client has abruptly stopped taking a CNS depressant, and is experiencing withdrawal symptoms. Which symptoms should the nurse expect to see?
1. Hypothermia, psychosis, seizures, decreased heart rate, increased blood pressure, and panic anxiety
2. Fever, euphoria, headache, increased heart rate, and fatigue
3. Fever, psychosis, seizures, increased heart rate, decreased blood pressure, panic, and anxiety
4. Euphoria, fever, tremor, relaxation, and coma
Correct Answer: 3
Rationale 1: The nurse would expect to see fever, psychosis, seizures, increased heart rate, decreased blood pressure, panic, and anxiety.
Rationale 2: The nurse would expect to see fever, psychosis, seizures, increased heart rate, decreased blood pressure, panic, and anxiety.
Rationale 3: Fever, psychosis, seizures, increased heart rate, decreased blood pressure, panic, and anxiety are symptoms of CNS withdrawal.
Rationale 4: The nurse would expect to see fever, psychosis, seizures, increased heart rate, decreased blood pressure, panic, and anxiety.
Global Rationale: Fever, psychosis, seizures, increased heart rate, decreased blood pressure, panic, and anxiety are symptoms of CNS withdrawal. Hypothermia, fatigue, and euphoria are not expected symptoms of CNS withdrawal.
You might also like to view...
In conjunction with phototherapy, which intervention is most effective in reducing the indirect bilirubin in an affected newborn?
a. Increase the frequency of feedings. b. Increase oral intake of water between feedings. c. Offer an exchange transfusion. d. Wrap the infant in triple blankets to prevent cold stress.
A woman is having difficulty burping her baby after feeding. Which instruction should the nurse give her?
a. "Hold him upright against your shoulder, and pat his back." b. "Use the cradle hold, with his head slightly elevated, and rub his stomach." c. "Give him a pacifier and hold him face down." d. "Give him water, and hold him on his side."
A client was exposed to iodine-131. Which medication would the nurse administer to counteract the effects of this exposure?
1. Anti-iodine vaccine intramuscularly 2. Potassium iodide orally 3. Penicillin intravenously 4. Antiviral nasal spray
The husband of a client with terminal cancer is afraid of hurting his wife during sexual intercourse. Which action by the nurse is likely to be most helpful in reducing this client's fears?
a. Suggest other ways the couple can spend time together, such as watching television together b. Encourage discussion between the husband and wife regarding their intimacy needs c. Reassure the client's husband that he cannot hurt the client during sexual intercourse d. Inform the client's husband that the client cannot have sexual intercourse due to fatigue