Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5091
QUESTION: The nurse is assessing a client with a history of multiple substance abuse. The client reports that he's been experiencing nausea, vomiting, and diarrhea. The nurse observes flushing, piloerection, increased lacrimation, and rhinorrhea. These signs and symptoms most likely indicate withdrawal from what substance?
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O a.) Alcohol
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O b.) Amphetamines
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O c.) Opioids
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O d.) Cocaine
RATIONALERATIONALE: Typical symptoms of opioid withdrawal include flushing, piloerection, nausea, vomiting, abdominal cramps, increased lacrimation, and rhinorrhea. The nurse must be aware of symptoms of opioid withdrawal because of the risk in the abuse of opioids, such as heroin and hydrocodone. Alcohol withdrawal symptoms include tachycardia, disorientation, confusion, agitation, and inability to sleep. Cocaine withdrawal symptoms include depression with possible suicidal ideation, sleep disturbances, poor concentration, and cocaine craving. Amphetamine withdrawal symptoms are similar to those of cocaine but not as pronounced.NURSING PROCESS STEP: AssessmentCLIENT NEEDS CATEGORY: Psychosocial integrityCLIENT NEEDS SUBCATEGORY: NoneCOGNITIVE LEVEL: Analysis
