Author Question: A patient involved in a minor accident reports having used crank an hour ago. The patient denies ... (Read 133 times)

nelaaney · **on:** Jun 25, 2018

A patient involved in a minor accident reports having used crank an hour ago. The patient denies having used the drug before. What manifestations can the nurse anticipate occurring with this patient?

1. reports feelings of insomnia and confusion
2. shows increased strength and cognition
3. displays paranoia
4. exhibits hallucinations

Question 2

After a patient undergoes surgery, the nurse notes that the analgesics prescribed are not relieving the patient's pain. A review of the patient's medical records reveals a history of alcohol abuse. What inferences can the nurse make?

1. The patient is likely cross-tolerant to the prescribed analgesic.
2. The patient has an unreported addiction to the pain medication being prescribed.
3. The patient has a history of using this medication at home.
4. The patient has a dual diagnosis relating to alcohol and drug addiction.

Eazy416 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

Crank is a form of methamphetamine. It will cause the patient to have insomnia and feel confusion. The patient will not show increased strength and cognition. Paranoia and hallucinations might be seen in an individual who has been using crank for a long period of time but not by someone who has used it once.

Answer to Question 2

Correct Answer: 1

Cross-tolerance results when tolerance to one substance also results in a tolerance to another drug. The patient's heavy use of alcohol likely has resulted in a tolerance to alcohol and, by association, to the prescribed analgesic. There is no evidence that the patient takes the medication at home, is addicted to the medication, or has a dual diagnosis related to alcohol and drug addiction.