Author Question: A patient has been admitted in an acute psychotic state after ingesting PCP. The nurse has not been ... (Read 31 times)

lilldybug07 · **on:** Jul 19, 2018

A patient has been admitted in an acute psychotic state after ingesting PCP. The nurse has not been able to administer the prescribed dose of benzodiazepine because of the patient's aggressive behavior.

The most appropriate intervention under these circumstances would be to: a. provide an alternative activity to channel energy.
b. move the patient to a quiet room to minimize stimulation.
c. perform a lavage to prevent continuing absorption of drug.
d. assign a nurse to stay with the patient to reassure and calm the patient.

Question 2

In the emergency room a nurse learns that a patient has recently taken a large amount of the drug PCP. The nurse should be ready to provide interventions for:

a. acute psychosis, agitation, and violence.
b. hypotension, sedation, and respiratory depression.
c. heightened sensory perceptions, dizziness, and ataxia.
d. paranoid thinking, hyperthermia, hyperactivity, and arrhythmias.

djofnc · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
The safety of the patient and others is an important concern. Patients who have ingested PCP often display unprovoked violence and agitation. It is important that the benzodiazepine be administered as soon as the patient is taken to the seclusion room. The seclusion room provides an environment of minimal stimulation, essential to calming the patient.

Answer to Question 2

A
PCP ingestion often produces an acutely psychotic state in which the patient is markedly agitated. Violence toward self or others is common. Because the drug produces anesthesia, the patient may be unaware of pain.