A client is admitted for alcohol intoxication. When assessing the client, which symptoms of alcohol abuse does the nurse anticipate?
1. Excessive sweating, restlessness, dilated pupils, agitation, goose bumps, tremor, decreased heart rate and blood pressure, nausea and vomiting, and abdominal cramps
2. Tremors, fatigue, anxiety, abdominal cramping, hallucinations, confusion, seizures, and delirium
3. Mental depression, anxiety, extreme fatigue, and hunger
4. Rarely observed
Correct Answer: 2
Rationale 1: Excessive sweating, restlessness, dilated pupils, agitation, goose bumps, tremor, decreased heart rate and blood pressure, nausea and vomiting, and abdominal cramps are symptoms of opioid withdrawal.
Rationale 2: Tremors, fatigue, anxiety, abdominal cramping, hallucinations, confusion, seizures, and delirium are symptoms of alcohol withdrawal.
Rationale 3: Mental depression, anxiety, extreme fatigue, and hunger are symptoms of cocaine withdrawal.
Rationale 4: Rarely observed is incorrect because this is common with hallucinogens.
Global Rationale: Tremors, fatigue, anxiety, abdominal cramping, hallucinations, confusion, seizures, and delirium are symptoms of alcohol withdrawal. Excessive sweating, restlessness, dilated pupils, agitation, goose bumps, tremor, decreased heart rate and blood pressure, nausea and vomiting, and abdominal cramps are symptoms of opioid withdrawal. Mental depression, anxiety, extreme fatigue, and hunger are symptoms of cocaine withdrawal. The client will have symptoms of withdrawal because this is common with hallucinogens.
You might also like to view...
Diminished or absent vibratory sensation can be the result of a(n)
a. spinal cord lesion involving the posterior columns. b. lesion of the thalamus. c. immature nervous system in infants. d. lesion in the parietal lobe.
A client has a history of recurring respiratory tract infections and presents today with cough and purulent sputum. The client also complains of longstanding fatigue and weakness. The nurse would assess the client further for
a. a viral infection. b. asthma. c. bronchiectasis. d. tracheobronchitis.
A nurse is teaching a group of parents about tracheoesophageal fistula. Which statement, made by the nurse, is accurate about tracheoesophageal fistula (TEF)?
a. This defect results from an embryonal failure of the foregut to differentiate into the trachea and esophagus. b. It is a fistula between the esophagus and stomach that results in the oral intake being refluxed and aspirated. c. An extra connection between the esophagus and trachea develops because of genetic abnormalities. d. The defect occurs in the second trimester of pregnancy.
A client diagnosed with narcolepsy asks the nurse why she is being given attention deficit and stimulant medications (Adderall and Ritalin) when her problem is sleep-related. The nurse:
1. Tells her to call her doctor because an error has been made 2. Relates that dextroamphetamine (Adderall) and methylphenidate (Ritalin) are used for narcolepsy 3. Tells her to call the pharmacist and make sure the prescription has been filled cor-rectly 4. Suspects that the client is abusing medications and assesses for other substance use