A nurse is caring for a patient in the hospital who is a know drug abuser. Friends have been visiting all morning, and in the evening the patient begins hallucinating and becomes extremely paranoid, appearing to have paranoid schizophrenia
The nurse should suspect which of the fol-lowing conditions? a. Amphetamine withdrawal
b. High doses of amphetamines
c. Withdrawal from opioids
d. High doses of opioids
B
Amphetamines can produce a psychotic state, characterized by hallucinations and paranoid idea-tion, that closely resembles paranoid schizophrenia. Amphetamine-induced psychosis usually resolves spontaneously after drug withdrawal.
Amphetamine withdrawal can produce dysphoria and a strong sense of craving, fatigue, pro-longed sleep, excessive eating, and depression.
Withdrawal from opiates may manifest as a psychologic need or physical withdrawal, which this patient is not manifesting.
There is no clinical evidence of a high dose of opioids.
You might also like to view...
Jane Farmington, 72 years old, has been diagnosed with hypothyroidism and started on thyroid replacement therapy. What are the nursing considerations for an older adult who has been started on thyroid replacement therapy?
a. Schedule Mrs. Farmington for weekly blood glucose levels b. Schedule Mrs. Farmington for weekly blood glucose levels, and encourage her to do daily self-blood glucose monitoring c. Schedule Mrs. Farmington for a CBC and electrolyte level within 1 month, and teach her the signs and symptoms of infection d. Schedule Mrs. Farmington for a drug blood level done in 4 weeks, and teach her how to monitor her heart rate
A number of major hormones are necessary for healthy reproduction to occur. These hormones are produced by a number of different organs. The anterior pituitary gland is responsible for producing (select all that apply)
a. Follicle-stimulating hormone (FSH) b. Luteinizing hormone (LH) c. Gonadotropin-releasing hormone (GnRH) d. Oxytocin e. Prolactin
____________________ is defined as long, difficult, or abnormal labor. It is caused by various conditions associated with the five factors affecting labor
Fill in the blank(s) with correct word
The nurse assesses that a full-term neonate's temperature is 36.2°C. The first nursing action is to:
a. Turn up the heat in the room. b. Place the neonate on the mother's chest with a warm blanket over the mother and baby. c. Take the neonate to the nursery and place in a radiant warmer. d. Notify the neonate's primary provider.