A teen client is brought to the emergency department by parents. The client's mother explains that the client reported taking goofballs and hootch before refusing to communicate further
The nurse's greatest concern for the client requires close observation for: 1. Seizure activity.
2. Respiratory depression.
3. Signs of withdrawal.
4. Signs of hallucinations.
2. Respiratory depression.
Rationale: "Goofballs" are barbiturates, which are central nervous system depressants. "Hootch" is a street term for alcohol. Barbiturates and alcohol are a lethal combination. The client who has ingested both items is at risk for varying degrees of sedation, up to coma and death. Seizure activity, signs of withdrawal, and signs of hallucinations do not pose as great a risk for this client as respiratory depression.
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