A patient involved in a minor accident reports taking Xanax prior to the accident. Which of the following should the nurse assess in this patient?
1. Alteration in vital signs and diaphoresis
2. Sense of increased strength
3. Paranoia
4. Hallucinations of grandeur
Alteration in vital signs and diaphoresis
Rationale: Xanax is a benzodiazepine that produces the same withdrawal symptoms as barbiturate withdrawal. Onset of withdrawal can occur within 24 to 72 hours of the last dose and symptoms include alterations in vital signs and diaphoresis. Crank, a form of methamphetamine, will cause the patient to feel a sense of increased strength and intelligence. Paranoia and hallucinations of grandeur are not associated with benzodiazepine withdrawal.
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