The nurse realizes the patient is describing tolerance when the patient states:

1. "I seem to need an increasing amount of alcohol each evening just to unwind.".
2. "I think I have the flu. My stomach is upset and my hands are shaking.".
3. "If I have my drink before I go home, I don't lose my patience so easily.".
4. "I had a really good time at the party. At least my friends told me I did, but I don't remember much of it.".


"I seem to need an increasing amount of alcohol each evening just to unwind.".

Rationale: Tolerance is a cumulative state in which a particular dose of the chemical elicits a smaller response than before. With increasing tolerance, the individual needs higher and higher doses to obtain the desired effects. Withdrawal symptoms of alcohol include nausea, vomiting, gastritis, headache, irritability, and the shakes. Substance abuse is a term used to describe a physical and psychological dependency on a substance to escape stress or change behavior. Overdose symptoms are the physical and/or psychological effects of ingesting too much of the substance at once.

Nursing

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