A patient arrives at the emergency room after taking LSD. What action should the nurse plan to take?
Administer the reversal drug naloxone.
Use of seclusion and restraint for safety.
Offer reassurance and emotional support.
Prepare for intubation due to respiratory complications.
The Correct Answer is C
A: Naloxone is used to reverse opioid overdoses, not LSD intoxication.
B: Seclusion and restraint should be used only if the patient poses an immediate threat to themselves or others and other de-escalation techniques have failed.
C: Offering reassurance and emotional support is the primary approach for managing a patient under the influence of LSD. Providing a calm and supportive environment helps reduce anxiety and agitation.
D: Respiratory complications are not typically associated with LSD use. Intubation is not a standard response for LSD intoxication unless there are other complicating factors.
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Related Questions
Correct Answer is D
Explanation
A: While going a week without fighting with teachers is a positive outcome, it is not a comprehensive goal for treatment.
B: The parents demonstrating the ability to discipline without shouting is important, but it focuses on the parents rather than the teen’s behavior.
C: Limiting the fight or flight response is a broad and somewhat vague goal. It is important but not specific enough for a treatment plan.
D: Creating and following a behavioral contract with rules, rewards, and consequences is a comprehensive and structured approach that involves both the teen and the family. It sets clear expectations and provides a framework for positive behavior change.
Correct Answer is A
Explanation
A: A cocaine abuser with chest pain should be assessed first because chest pain can indicate a life-threatening condition such as a myocardial infarction (heart attack). Cocaine use increases the risk of cardiovascular events, making this client a priority.
B: An intoxicated client with a long history of alcoholism needs medical attention, but their condition is likely less immediately life-threatening compared to chest pain from cocaine use.
C: A client who recently experienced a “bad trip” from LSD may be experiencing psychological distress, but this is generally not as immediately life-threatening as chest pain.
D: A young man who thinks they have been given flunitrazepam (Rohypnol) needs to be assessed for potential drug-facilitated assault, but this situation is less immediately critical than chest pain from cocaine use.
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