A client is showing symptoms of alcohol intoxication. What question should the nurse ask first?

"Are you experiencing a relapse?"

"What time was your last drink?"

"How long have you had a problem with alcohol?"

"Are you having any liver problems?"

Answer and Explanation

The Correct Answer is B

A) Incorrect. While understanding if the client is experiencing a relapse is important, knowing the timing of the last drink is crucial for assessing the level of intoxication.

B) Correct. Knowing the time of the last drink helps the nurse gauge the current level of alcohol in the client's system, which is crucial in assessing and managing alcohol intoxication.

C) Incorrect. While understanding the duration of the client's problem with alcohol is important, it is not the most immediate concern when the client is showing symptoms of intoxication.
D) Incorrect. Asking about liver problems is relevant but not the first priority when the client is exhibiting signs of alcohol intoxication.

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Correct Answer is A

Explanation

A) Correct. Amitriptyline, like other tricyclic antidepressants, can cause orthostatic hypotension, which is a drop in blood pressure when changing position from lying to standing.

B) Incorrect. Diarrhea is not a common side effect of amitriptyline.
C) Incorrect. Weight gain is more commonly associated with amitriptyline, not weight loss.
D) Incorrect. Excessive salivation is not a typical side effect of amitriptyline.

A. Diaphoresis, piloerection, tremors, irritability, insomnia, nausea, and vomiting. B. Diaphoresis, hypertension, hand tremors, hallucination/illusions, and potential seizures. C. Cravings, depression, fatigue, hypersomnolence, and impaired judgment. D. Heightened sense of self, hallucinations, flashbacks, incoordination, and panic attacks.

Correct Answer is A

Explanation

A) Correct. These symptoms are indicative of opioid withdrawal. Opioid withdrawal symptoms include sweating (diaphoresis), goosebumps (piloerection), tremors, irritability, insomnia, and gastrointestinal symptoms like nausea and vomiting.

B) Incorrect. These symptoms are more indicative of withdrawal from substances like alcohol or benzodiazepines, rather than opioids.

C) Incorrect. These symptoms are not specific to opioid withdrawal and may be seen in various conditions.

D) Incorrect. This cluster of symptoms is not characteristic of opioid withdrawal.

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A client is showing symptoms of alcohol intoxication. What question should the nurse ask first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with major depression and placed on amitriptyline. Which is a side effect of amitriptyline?

Correct Answer is A

Explanation

The nurse is caring for a client who is withdrawing from long-term use of opioids. The nurse will monitor using a Clinical Opioid Withdrawal Scale (COWS). Which of the following cluster of symptoms would indicate to the nurse the client was withdrawing from opioids?

Correct Answer is A

Explanation

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