A nurse is assessing a client who has a history of substance use disorder and states, "People are out to get me." The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
Opium
Heroin
Alcohol
Cocaine
The Correct Answer is D
Cocaine is a stimulant that can cause paranoia, increased heart rate, and elevated blood pressure in high doses or during acute intoxication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should obtain a provider's prescription for seclusion within 60 min of placing the client in seclusion, according to the standards of care for psychiatric-mental health nursing. The other actions are also important, but not as urgent as obtaining a prescription.
Correct Answer is A
Explanation
This response demonstrates empathy and respect for the client's feelings, and encourages the client to explore and express his or her emotions. It also allows the nurse to assess the client's situation and provide appropriate support and interventions.
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