The head nurse tells a new staff nurse We anticipate this client ...

[fnuegbu]

The head nurse tells a new staff nurse We anticipate this client will have symptoms of withdrawal
  from sedative-hypnotics. Watch her closely.. For which symptoms should the staff nurse assess the
  client?
 
  a. Dilated pupils, tachycardia, elevated blood pressure, elation
  b. Mood lability, incoordination, fever, drowsiness
  c. Nausea, vomiting, diaphoresis, anxiety, tremors
  d. Excessive eating, constipation, headache

Question 2

During the morning community meeting on the inpatient psychiatric unit, a 40-year-old hypomanic
  client threatens to strike another client. The nurse therapist should intervene by
 
  a. immediately sending the other clients out of the room.
  b. telling the client he must leave the meeting.
  c. summoning the assistance of several other staff.
  d. firmly telling the client he can talk about being angry in group, but he cannot act
  out.

[jgranad15]

Answer to Question 1

C
The symptoms of withdrawal from sedative-hypnotic or anxiolytic drugs are similar to those of
alcohol withdrawal. Grand mal seizures are possible. Option A might be seen in CNS stimulant use.
Options B and D are merely collections of symptoms with no relation to sedative-hypnotic
withdrawal.

Answer to Question 2

D
The therapist should intervene when a client threatens to act out by firmly orienting the client
regarding what behavior is acceptable and what is unacceptable. Option A: This is premature.
Option B: The client should be advised of limits before this action is taken. Option C: This is
premature.