The nurse is continuing to care for the patient in the emergency department.

Exhibits

Which findings should the nurse identify as potential complications of the client’s diagnostic results? Select all that apply.

Nausea and vomiting

Confusion

Tachycardia

Hypothermia

Amnesia

Respiratory depression

Answer and Explanation

Correct Answer : A,B,E,F

Choice A:
GHB (gamma-hydroxybutyric acid) is known to cause nausea and vomiting, especially at higher doses. These symptoms are common side effects of GHB ingestion and can be distressing for the patient.
Choice B:
Confusion is a significant complication associated with GHB use. GHB acts as a central nervous system depressant, leading to altered mental status and confusion. This can impair the patient’s ability to communicate effectively and understand their surroundings.
Choice C:
Tachycardia, or an abnormally fast heart rate, is not typically associated with GHB use. GHB tends to cause bradycardia (slowed heart rate) rather than tachycardia. Therefore, this option is not a correct answer.
Choice D:
Hypothermia, or abnormally low body temperature, is not a common complication of GHB use. GHB does not typically affect body temperature regulation in a way that would lead to hypothermia. Thus, this option is not a correct answer.
Choice E:
Amnesia is a well-documented effect of GHB, often referred to as the “date rape drug” due to its ability to cause memory loss1. This can result in the patient having no recollection of events that occurred while under the influence of the drug.
Choice F:
Respiratory depression is a severe and potentially life-threatening complication of GHB use. GHB can depress the central nervous system to the point where breathing becomes slow and shallow, which can lead to respiratory failure5. This is a critical concern in managing patients who have ingested GHB.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

The nurse should identify that the client’s diagnostic results and abdominal examination are consistent with sexual assault.

Choice A: The diagnostic results show a positive test for GHB (gamma-hydroxybutyric acid). GHB is a central nervous system depressant that is commonly referred to as a “club drug” or “date rape” drug. It is often used in cases of drugging and sexual assault due to its euphoric and calming effects at low doses. Larger doses can cause loss of consciousness and a type of short-term memory loss known as anterograde amnesia4. These effects have led sexual predators to use GHB as a date-rape drug.

Choice B: The client’s blood pressure is 128/88 mm Hg, which falls within the normal range of 90/60 mmHg to 120/80 mmHg. Therefore, the blood pressure does not provide any specific indication of sexual assault.

Choice C: the abdominal examination reveals tenderness, which could be a result of the assault. This, along with the client’s statement and physical signs such as bruising and broken fingernails, supports the client’s claim of sexual assault.

Choice D: The client’s temperature is 37°C (98.6°F), which is within the normal body temperature range of 97.8°F to 99.1°F (36.5°C to 37.3°C). Therefore, the temperature does not provide any specific indication of sexual assault.

Choice E: While the presence of GHB in the client’s system is a significant finding, it is part of the diagnostic results rather than a separate drug assessment. Therefore, this choice is not as accurate as Choice A (Diagnostic results).

A. Reduced frequency of seizures. B. Reduced frequency of panic attacks. C. Improvement in manifestations of depression. D. Decreased fear of heights.

Correct Answer is C

Explanation

Choice A reason:
Electroconvulsive therapy (ECT) is not typically used to reduce the frequency of seizures. In fact, ECT induces controlled seizures as part of its therapeutic process. Therefore, a reduction in seizure frequency is not an indicator of ECT's effectiveness.

Choice B reason:
While ECT can be used to treat various psychiatric conditions, it is most commonly and effectively used for severe depression. It is not primarily indicated for reducing the frequency of panic attacks. Therefore, a reduction in panic attacks is not a primary measure of ECT's effectiveness.

Choice C reason:
Improvement in manifestations of depression is a key indicator of ECT's effectiveness. ECT is often used when other treatments for major depressive disorder have failed. Patients typically show significant improvement in mood, energy levels, and overall functioning after a series of ECT treatments.

Choice D reason:
Decreased fear of heights, or acrophobia, is not a condition typically treated with ECT. Phobias are usually addressed through therapies such as cognitive-behavioral therapy (CBT) rather than ECT. Therefore, a decrease in the fear of heights is not an indicator of ECT's effectiveness.

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The nurse is continuing to care for the patient in the emergency department. Exhibits Which findings should the nurse identify as potential complications of the client’s diagnostic results? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The nurse should identify that the client’s dropdown and dropdown are consistent with sexual assault.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

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Correct Answer is C

Explanation

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The nurse is continuing to care for the patient in the emergency department.

Exhibits

Which findings should the nurse identify as potential complications of the client’s diagnostic results? Select all that apply.