NR 452 capstonerem13

A nurse is caring for a client admitted to the acute mental health unit with phencyclidine (PCP) intoxication. What should be the nurse's primary focus during the acute intoxication period? Suggested Mental Health Learning Activity: Substance & Non-Substance Abuse: General Review and Stimulant Abuse  Maintain a safe environment to prevent falls; implement seizure precautions as needed  Provide close observation for withdrawal manifestations, possibly one-on-one supervision physical restraint should be last resort  Orient the client to time, place and person  Maintain adequate nutrition and fluid balance  Create low stimulation environment  Administer medications as prescribed to treat the effects of intoxication or to prevent or manage withdrawal. This can include substitution therapy.  Monitor for covert substance use during the detoxification period A nurse is caring for a client experiencing opioid withdrawal. What manifestations should the nurse anticipate? Suggested Mental Health Learning Activity: Substance and Abuse and Addictive Disorders  Abstinence syndrome begins with sweating and rhinorrhea progressing to piloerection(gooseflesh), tremors, and irritability, followed by severe weakness, diarrhea, fever, insomnia, pupil dilation, nausea and vomiting, pain and in