A client is admitted to the emergency department with signs of stimulant intoxication. The client reports taking amphetamines prescribed by a friend for weight loss. Which of the following findings should the nurse expect?
Hypotension and bradycardia
Agitation and paranoia
Slurred speech and ataxia
Sedation and respiratory depression
The Correct Answer is B
Correct answer: b) Agitation and paranoia
Rationale: Agitation and paranoia are signs of stimulant intoxication and indicate that the client is experiencing a psychotic reaction to amphetamines. The nurse should provide a calm and safe environment, administer antipsychotics if ordered, and monitor the client for violence or self-harm.
Incorrect choices:
a) Hypotension and bradycardia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
c) Slurred speech and ataxia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
d) Sedation and respiratory depression: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct answer: b) Agitation and paranoia
Rationale: Agitation and paranoia are signs of stimulant intoxication and indicate that the client is experiencing a psychotic reaction to amphetamines. The nurse should provide a calm and safe environment, administer antipsychotics if ordered, and monitor the client for violence or self-harm.
Incorrect choices:
a) Hypotension and bradycardia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
c) Slurred speech and ataxia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
d) Sedation and respiratory depression: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
Correct Answer is A
Explanation
Correct answer: a) Ibuprofen (Advil)
Rationale: Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the blood levels of lithium by reducing its renal excretion. This can result in lithium toxicity, which can cause nausea, vomiting, tremors, confusion, and seizures.
Incorrect choices:
b) Levothyroxine (Synthroid): Levothyroxine and other thyroid hormones do not interact with lithium.
c) Omeprazole (Prilosec): Omeprazole and other proton pump inhibitors (PPIs) do not interact with lithium.
d) Metformin (Glucophage): Metformin and other antidiabetic drugs do not interact with lithium.
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