A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

Severe hallucinations

Negative symptoms of psychosis

Prolonged hallucinations

Prolonged delusions

Answer and Explanation

The Correct Answer is A

A. Acute toxicity to sedatives, especially at high doses, can lead to various central nervous system effects, including severe hallucinations. Hallucinations can involve distorted perceptions of sensory experiences, such as seeing, hearing, or feeling things that are not present. These hallucinations may be vivid, intense, and disturbing, especially during acute intoxication.

B. Negative symptoms are more commonly associated with chronic psychotic disorders like schizophrenia rather than acute toxic reactions.

C. Prolonged hallucinations are less characteristic of acute toxicity and are more commonly seen in conditions like schizophrenia or certain drug-induced psychotic disorders.

D. Prolonged delusions typically characterize chronic psychotic disorders rather than acute toxic reactions.

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Correct Answer is D

Explanation

D. Tardive dyskinesia (TD) is a side effect of long-term use of first-generation antipsychotic medications, such as those commonly used to treat schizophrenia. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and other parts of the body.

A. Impaired ability to regulate body temperature is more commonly associated with conditions such as heatstroke or certain neurological disorders affecting the hypothalamus, and it typically presents with symptoms such as fever or hypothermia.

B. Extrapyramidal symptoms encompass a range of movement disorders caused by dysfunction of the extrapyramidal system, which includes the basal ganglia.

C. Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening side effect of antipsychotic medications, characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction.

A. Reinforce the importance of eating a well-balanced diet. B. Recommend the client be screened for Hepatitis B. C. Inform the client about needle exchange programs. D. Provide information on drug rehabilitation facilities since the client has expressed interest

Correct Answer is D

Explanation

D Tertiary prevention aims to minimize the impact of an existing illness or condition and prevent further complications or recurrence. In the context of substance use disorder, providing information on drug rehabilitation facilities aligns with tertiary prevention strategies.

A. This intervention is more aligned with primary or secondary prevention strategies aimed at preventing substance use disorder or addressing risk factors before the onset of the disorder. B This intervention is focused on screening for a potential complication or comorbidity associated with substance use disorder rather than providing treatment or support for the disorder itself.

C- Secondary prevention

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A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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