Week 12: Concept of Addiction

Foods, medications, and any topical preparation containing alcohol should be avoided

A 45-year-old man who recently completed alcohol detoxification states that he plans to begin using disulfiram (Antabuse) as part of his alcoholism treatment regimen. What important client teaching by the nurse regarding this drug?

Marked memory loss

A 56-year old man is admitted to a mental health facility with a diagnosis of substance induced persisting dementia resulting from chronic alcoholism. When conducting the admitting interview, the nurse determines that the client is using confabulation. What does the nurse recall precipitates the clients use of confabulation?

"When was your last drink of vodka?"

A client is admitted to the hospital with ascites. The client reports drinking a quart (liter) of vodka in orange juice every day for the past three months. Th assess the potential for withdrawal symptoms, which question would be appropriate for the nurse to ask the client?

Tuberculosis

A client is homeless is hospitalized for alcohol withdrawal. When considering the type of personal protective equipment that is needed for the clients care, what condition does the nurse recall that homeless persons are at risk for?

Daily drinker

A client reports drinking two drinks per day every day with no negative consequences. How should his person be classified?

Has a CD4+ T lymphocyte level of less than 200 cells/µL

A client who is abused IV drugs was diagnosed with the HIV several years ago. What does the nurse explain to the client regarding the diagnostic criterion for AIDS?

-Anxiety -Diaphoresis -Psychomotor agitation

A client who was in an automobile accident is admitted to the hospital with multiple injuries. Approximately 14 hours after admission, the client begins to experience signs and symptoms of withdrawal from alcohol. Which signs and symptoms should the nurse connect to alcohol withdrawal?

Monitor vital signs

A client with a 20-year history of excessive alcohol use has developed jaundice and ascites and is admitted to the hospital. What is the priority nursing action during the first 48 hours after the clients admission?

Marked loss of memory

A client with a history of chronic alcoholism is admitted to the mental health unit. What does the nurse identify as the cause of a clients use of confabulation?

Universality

A client with a history of drug abuse begins group therapy. After attending the first meeting the client says to the nurse, "It helps to know that I'm not the only one with this type of problem." What concept does this statement reflect?

Increased heart rate

A client with a history of methamphetamine use is admitted to the medical unit. What clinical manifestation does the nurse expect when assessing the client?

Impaired portal venous return

A client with a long history o alcohol abuse develops cirrhosis of the liver. The client exhibits the presence of ascites. What does the nurse conclude is the most likely cause of the clients ascites?

Irritability and tremors

A client with alcoholism was admitted a few hours ago for pancreatitis. For which symptoms should this nurse carefully monitor this client?

Cause a severe adverse reaction if alcohol is consumed

A healthcare provider prescribes disulfiram will have which action?

Alcohol

A nurse decides to use the CAGE screening questionnaire with a client admitted for substance abuse. What is the client abusing?

Seizures

A nurse is caring for a client who has abruptly stopped taking barbiturate. What withdrawal complications does the nurse anticipate that the client may experience?

High protein

A nurse is caring for a client who is recovering from an acute episode of alcoholism. Which component of a therapeutic diet should the nurse encourage the client to consume?

A stimulant

A nurse is counseling a client who abuses cocaine. The nurse recognizes that this drug is representative of which drug category?

Offering an introduction to the client at each meeting

A nurse is counseling a client who is experiencing substances abuse delirium. What communication strategies should be used by the nurse when working with this client?

Nicotine

A nurse is counseling clients who are admitting an alcohol rehabilitation program. Which substance poses the greatest risk of addiction for these clients?

Thiamine deficiency

A nurse, understanding the possible cause of alcohol-induced amnestic disorder, should take into consideration that the client is probably experiencing which imbalance?

Reduces the anxiety-tremor state and prevents more serious withdrawal symptoms

A primary healthcare provider prescribes oxazepam for a client who is beginning to experience withdrawal symptoms while undergoing detoxification. What are the primary reasons that oxazepam is given during detoxification?

"What are your feelings about going to AA meetings?"

A salesman with a history of heavy drinking is on a detoxification unit. He asks the nurses permission to skip the Alcoholics Anonymous (AA) meeting held each day. What is the nurses initial response?

Demonstrating a nonjudgmental attitude

Addicted clients commonly expect discrimination and lack of empathy from others. How can the nurse best overcome these expectations?

Establishing a patent airway

After a cocaine binge an individual is found unconscious and is admitted to the hospital with acute cocaine toxicity. What should the initial nursing action be directed toward?

Referred to the employee assistance program

It is determined that a staff nurse has a drug abuse problem. What approach to the staff nurses addiction should be taken as an initial intervention?

Prevent peripheral vasoconstriction.

The nurse encourages a client with Raynaud disease to stop smoking. Which primary goal is the nurse trying to achieve?

Verbalizing an honest desire for help

What behavior by a client with a long history of alcohol abuse is an indication that the client may be ready for treatment?

-A substitute for cigarettes -Tobacco products with carcinogenic chemicals -Tobacco products placed in mouth but not ignited

What does the term "smokeless tobacco" refer to? Select all that apply?

Naloxone

What drug does a nurse anticipate that the primary healthcare provider will prescribe for a client demonstrating clinical manifestation associated with an opioid overdose?

-Peer pressure -Imitating adult behavior of smoking -Imitating lifestyle portrayed in movies and advertisements

What factors may an adolescent to develop a smoking addiction?

Checking on the client frequently

When planning for a clients care during the detoxification phase of acute alcohol withdrawal, what need should the nurse anticipate?

Red and dry skin

Which physical assessment of the skin indicates that a client is addicted to phencyclidine?

Changing destructive behavior

While a client is attending an AA meeting, a nurse talks with the clients spouse about the purpose of AA. What is the priority goal of this self-help group?