The nurse is assisting in the care of a client in an inpatient mental health facility. For each finding, click to specify if the finding is consistent with opioid, stimulant, or hallucinogen intoxication. Each finding may be consistent with more than 1 substance or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

Rationale: Pinpoint pupils: Classic sign of opioid intoxication (heroin, morphine). Paranoia: Can occur with stimulant intoxication (methamphetamine, cocaine) and hallucinogen use (LSD, psilocybin) due to altered perception and increased CNS activity. Sedation: Common with opioids due to CNS depressant effects. Tachycardia: Seen with stimulant use (methamphetamine) and sometimes hallucinogen use due to sympathetic stimulation. Dilated pupils: Sympathetic stimulation occurs with stimulants and hallucinogens, causing mydriasis. Seizures: Can be a complication of stimulants and hallucinogens at high doses. Hypertension: Sympathomimetic effects of stimulants and some hallucinogens increase blood pressure.