Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5054

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5054

QUESTION: A client who's actively hallucinating is brought to the hospital by friends. They say that the client used either lysergic acid diethylamide (LSD) or angel dust (phencyclidine [PCP]) at a concert. Which common assessment finding indicates that the client may have ingested PCP?

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O a.) Dilated pupils

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O b.) Nystagmus

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O c.) Paranoia

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O d.) Altered mood

RATIONALE

RATIONALE: Phencyclidine is an anesthetic with severe psychological effects. It blocks the reuptake of dopamine and directly affects the midbrain and thalamus. Nystagmus and ataxia are common physical findings of PCP use. Dilated pupils are evidence of LSD ingestion. Paranoia and altered mood occur with both PCP and LSD ingestion.
NURSING PROCESS STEP: Assessment
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Physiological adaptation
COGNITIVE LEVEL: Knowledge