Questions 96

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NCLEX-RN Mental Health Questions

Extract:

The following scenario applies to the next 1 items
The nurse cares for a client in the emergency department with suspected substance intoxication
Item 1 of 1
Nurses’ 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.


Question 1 of 5

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.

Assessment Findings Alcohol Amphetamine
Paranoia
Vomiting
Hypertension
Tachycardia

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.

Extract:


Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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