Patients who use inhalants and hallucinogens are likely to experience which negative effects? (Select all that apply.)
a. Distortion of senses
b. Intense pruritus
c. Uncontrolled flashbacks
d. Koilonychia
e. Severely impaired judgment
A, C, E
Hallucinogens cause distortion of the senses, an inability to separate fact from fantasy, impaired sense of time, and severely impaired judgment. Users never know whether they will have a good "trip" or a bad one. Uncontrolled flashbacks (feelings and sensations associated with use despite being drug-free) can occur. This group of drugs is very dangerous because use is known to cause panic, paranoia, and death from extremely impaired judgment. Inhalants and hallucinogens are not known to cause intense itching (pruritus) or spoon-shaped nails (koilonychia).
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The nurse is caring for a patient after abdominal surgery in the PACU. The patient's blood pressure has increased and the patient is restless. The patient's oxygen saturation is 97%. What cause for this change in status should the nurse first suspect?
A) The patient is hypothermic. B) The patient is in shock. C) The patient is in pain. D) The patient is hypoxic.
After administering a decongestant, which of the following would the nurse include in the ongoing assessment? Select all that apply
A) Heart sounds B) Blood pressure C) Level of congestion D) Therapeutic effect E) Pain assessment
How is objective data collected? (Select all that apply.)
a. Observation b. Patient complaints c. Physical examination d. Laboratory findings e. Family input
The nurse is caring for a client who has been given one year to live. Which of the following is a useful nursing intervention to treat the anxiety of the client and family associated with receiving a terminal diagnosis?
1. Explore the client and family's history with other stressful life events and how successful coping was at that time 2. Teach the family that while talking with the client about death and dying is permissible, they should not allow the client to dwell on death 3. Supply information about the client's disease process and the expected trajectory of death only on a need to know basis 4. Encourage early pharmaceutical intervention with anti-anxiety and sedative medications