NCLEX MENTAL HEALTH SUBSTANCE
When assessing a client withdrawing from alcohol, the nurse notes that the client is anxious, experiencing nausea, is restless, and has a tremor when both arms are extended. What should the nurse should do next?
Administer a benzodiazepine as prescribed.
The nurse provides care to a client with chemical dependency. What are the primary nursing considerations for this client? Select all that apply.
Support the client's decision to stop substance use. Promote family interaction and involvement in the rehabilitation process. Teach the client to deal with life stressors through coping skills.
A client admitted for alcohol detoxification is taking disulfiram. The nurse should instruct the client to avoid ingestion of which foods and/or liquids? Select all that apply.
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A client is admitted to the emergency department with an elevated blood alcohol level. The authorities state he was driving on the wrong side of the road. He is transferred to the acute care unit where he awakens the next morning. His vital signs are stable, and he has a headache. What should the nurse do first when caring for this client?
Work through personal feelings related to substance use/abuse.
A nurse is employed at an outpatient rehabilitation facility caring for clients withdrawing from opioids. When assessing clients who present for their counseling session, which findings are anticipated at this time? Select all that apply.
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The client is in the emergency department with her boyfriend. She is just recovering from a temporary drug-induced psychosis from lysergic acid diethylamide (LSD). She is still frightened and a little suspicious. Which nursing action is most appropriate?
having an unlicensed assistive personnel (UAP) stay with the client to decrease her fear
A client is brought to the emergency department by a friend who states, "He was using a lot of heroin until he ran out of money about 2 days ago." The nurse judges the client to be in opioid withdrawal if he exhibits which sign or symptom? Select all that apply.
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While admitting a client to the alcohol treatment program, the nurse asks the client how long she has been drinking, how much she has been drinking, and when she had her last drink. The client replies that she has been drinking about a liter of vodka a day for the past week and her last drink was about an hour ago. This information helps the nurse to determine which factor?
the severity of withdrawal symptoms
