A teen is brought to the emergency room by a parent. The assessment reveals that the client has been acting strangely for the past three hours and is hypervigilant, grandiose, and irritable

Vital signs indicate hypertension, tachycardia, and some arrhythmias. The teen may have ingested: 1. Alcohol.
2. Crack.
3. Cocaine.
4. Amphetamines.


4
Rationale: Amphetamine intoxication includes symptoms of hypervigilance, grandiosity, and irritability. Crack and cocaine are the same drug in different forms. Their effects are the same as amphetamines, but are shorter acting. Alcohol intoxication includes a relaxed euphoria, lack of concentration, and decreased inhibitions.

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