Difficulty: Medium
Average Score: 76%
Simulated
Passage / Scenario
The following scenario applies to the next 1 itemsThe nurse cares for a client in the emergency department with suspected substance intoxication
Item 1 of 1
NursesÔÇÖ Notes
A 31-year-old male client was brought to the emergency department (ED) by police after being found acting bizarrely at a local park. The client is hyper-alert and oriented. His speech is fast, and repeatedly states that 'someone is after him.' He has vomited twice approximately 100 mL of opaque fluid.
Vital Signs
Oral temperature 99.5 F (37.5┬░ C)
Pulse 110 bpm
Respirations 22/minute
BP 193/113 mm Hg
Oxygen saturation 95% on room air.
For each assessment finding, click to indicate if it is consistent with alcohol intoxication or amphetamine intoxication. Each row must have at least one, but may have more than one, response option selected.
Correct answer
A (Amphetamine), B (Alcohol), C (Amphetamine), D (Amphetamine)
Rationale
Paranoia, hypertension, and tachycardia are hallmark signs of amphetamine intoxication due to its stimulant effects. Vomiting is more commonly associated with alcohol intoxication.