Ch 36

Which interventions does the nurse implement while providing care for an intoxicated patient? Select all that apply. 1 Using padded side rails and floor pads 2 Keeping the bed in a flat position at all times 3 Placing the patient in a side-lying position 4 Ensuring that the patient has a patent airway 5 Monitoring the patient's intravenous sites often

1 Using padded side rails and floor pads 3 Placing the patient in a side-lying position 4 Ensuring that the patient has a patent airway 5 Monitoring the patient's intr

A school nurse is asked to provide an in-service on inhalants to high school students. During the in-service, the nurse discusses the variety of volatile chemical substances that can alter thinking and emotions when inhaled. Which risks associated with ingesting high doses of inhalants should be included in the in-service? 1 Mood swings, depression, and paranoia 2 Schizophrenia, heart failure, and insomnia 3 Hypotension, loss of coordination, and tachycardia 4 Respiratory arrest, brain damage, and kidney damage

4 Respiratory arrest, brain damage, and kidney damage

Which statement by the nurse about the treatment for nicotine addiction indicates effective learning? 1 "Nicotine gum will help decrease nicotine dependence." 2 "CNS stimulants are helpful in treating nicotine addiction." 3 "The nicotine transdermal patch is the least beneficial option." 4 "Only 10% of people who quit smoking will experience relapse."

1 "Nicotine gum will help decrease nicotine dependence."

When assessing an adolescent in the early stages of drug addiction, which information does the nurse provide to the parents about the adolescent's recovery? 1 "Recovery is possible even without treatment." 2 "There will be severe impairment in all areas of function." 3 "There is no chance of improvement with any treatment." 4 "There is low chance of recovery without any treatment."

1 "Recovery is possible even without treatment."

Which question by the nurse is best to help identify a patient's addictive behavior pattern during an assessment? 1 "What do you do to relieve stress?" 2 "Do you often feel overwhelmed?" 3 "When was the last time you used drugs?" 4 "How often do you have the urge to drink?"

1 "What do you do to relieve stress?"

While examining the medical record of a patient diagnosed with a diabetic foot ulcer, the nurse notes that the patient has a diagnosed history of both alcohol and opiate abuse. The patient summons the nurse and complains that the pain medication administered 2 hours ago is "wearing off" and another dose, or perhaps a stronger medication, is needed. The nurse recognizes that pain management may be complicated by prior substance abuse. The patient's medication has been prescribed to be given every 4 hours as needed (prn). Which action by the nurse would be most appropriate? 1 Collecting thorough data regarding the patient's pain 2 Telling the patient that 2 hours is not that long and will pass quickly 3 Searching the prn medication prescriptions for an anxiolytic agent to help calm the patient 4 Notifying the health care provider to request an additional or stronger dose of pain medication

1 Collecting thorough data regarding the patient's pain

The licensed practical/vocational nurse (LPN/LVN) notices that the new nurse is the only nurse who administers pain medications to several of the patients during the night shift. During the medication pass, the LPN/LVN asks one of the patients about pain experienced during the night. The patient states that she has not had any pain at night for a long time. Which action by the LPN/LVN would be appropriate? 1 Contacting the nursing supervisor and relating any suspicions 2 Confronting the night shift nurse during the next day's narcotic count 3 Keeping the information private because there is no proof it's true 4 Telling all of the other nurses on the day and evening shifts so that they can be on the lookout

1 Contacting the nursing supervisor and relating any suspicions

In preparing for a position at a treatment addiction center, a new nurse reviews research materials related to addiction and identifies which main elements of addiction? Select all that apply. 1 Display of psychological disturbance 2 Excessive use or abuse of a substance 3 Decline of social and economic function 4 Preoccupation with substance, including talking about it constantly 5 Uncontrollable consumption of the substance, including dependence 6 Incarceration or hospitalization for actions or behaviors related to use or misuse of the substance

1 Display of psychological disturbance 2 Excessive use or abuse of a substance 3 Decline of social and economic function 5 Uncontrollable consumption of the substance, including dependence

A patient is having trouble abstaining from alcohol. Which drug is often prescribed to encourage abstinence? 1 Disulfiram 2 Bupropion 3 Chlordiazepoxide 4 Chlorpromazine

1 Disulfiram

Which objective data are included in the assessment of a patient with a dependence problem? Select all that apply. 1 Gum and tooth problems 2 Needle tracks on forearms 3 Positive blood sample for drugs 4 Drug quantity taken by the patient 5 Height, weight, vital sign measurements

1 Gum and tooth problems 2 Needle tracks on forearms 3 Positive blood sample for drugs 5 Height, weight, vital sign measurements

The health care provider prescribes blood tests for a patient brought to the emergency room after a motor vehicle accident (MVA), including blood alcohol levels. When reviewing the results, which laboratory results does the nurse note to indicate long-term alcohol abuse? Select all that apply. 1 Hypoglycemia 2 Hyperglycemia 3 Increased liver enzymes 4 Increased urinary alcohol 5 Abnormal blood protein levels 6 Elevated magnesium and hemoglobin

1 Hypoglycemia 3 Increased liver enzymes 5 Abnormal blood protein levels

A patient who smokes heavily decides to suddenly quit smoking and refrains for a couple of days. Which withdrawal symptoms are likely to be seen in the patient? Select all that apply. 1 Irritability 2 Pneumonitis 3 Disturbed sleep 4 Severe depression 5 Increased appetite

1 Irritability 3 Disturbed sleep 5 Increased appetite

A young patient says that he gets annoyed when friends tell him that he drinks too much. He also reports that sometimes he thinks he should try and cut down a little on his drinking. The nurse in the clinic would draw which conclusion about the likelihood that the patient has alcoholism based on the CAGE questions? 1 It is probable that the patient has alcoholism. 2 The patient probably does not have alcoholism. 3 There is an increased risk to develop alcoholism. 4 The information provided is inadequate for making any determination.

1 It is probable that the patient has alcoholism.

An adolescent is admitted to the medical facility with severe respiratory depression and a risk for coma. Which drug will be administered to the adolescent? 1 Naloxone 2 Diazepam 3 Flurazepam 4 Methadone

1 Naloxone

A patient is being evaluated in the emergency room for a possible drug overdose. The nurse notes that the patient is stuporous, has pinpoint pupils, and has severe respiratory depression. The health care provider orders a urine toxicology screen, stat. Which substance does the nurse anticipate receiving a positive result for in the urine screen? 1 Opiates 2 Cocaine 3 Amphetamines 4 Cannabis

1 Opiates

Which drugs does the nurse list while informing a group of adolescents about different hallucinogenic drugs? Select all that apply. 1 Phencyclidine (PCP) 2 Amantadine (Symmetrel) 3 Gamma-hydroxybutyrate (GHB) 4 Lysergic acid diethylamide (LSD) 5 3,4-Methylenedioxymethamphetamine (MDMA)

1 Phencyclidine (PCP) 4 Lysergic acid diethylamide (LSD) 5 3,4-Methylenedioxymethamphetamine (MDMA)

Which are naturally occurring hallucinogens? Select all that apply. 1 Psilocybin 2 Mescaline 3 Ketamine 4 Phencyclidine (PCP) 5 Lysergic acid diethylamide (LSD)

1 Psilocybin 2 Mescaline

Which condition will be seen in a patient who abuses cocaine by snorting? 1 Sinusitis 2 Paranoia 3 Hemoptysis 4 Pneumonitis

1 Sinusitis

Nursing interventions during detoxification are geared toward ensuring the safety of the patient and assisting the patient to progress through the detoxification process. Which nursing interventions would be appropriate for all patients undergoing detoxification? Select all that apply. 1 Speaking in a calm voice 2 Keeping instructions and explanations simple 3 Administering sedative hypnotics for insomnia 4 Monitoring cardiovascular, respiratory, and neurologic function 5 Facilitating a peaceful environment with reduced environmental stimuli 6 Maintaining nothing by mouth (NPO) status and intravenous (IV) hydration

1 Speaking in a calm voice 2 Keeping instructions and explanations simple 4 Monitoring cardiovascular, respiratory, and neurologic function 5 Facilitating a peaceful environment with reduced environmental stimuli

The nurse is providing care for a patient who was recently admitted to the hospital for the treatment of marijuana addiction. Which conditions does the nurse expect to see in the patient? Select all that apply. 1 Stuffy nose 2 Panic reactions 3 General myalgia 4 Suicidal thoughts 5 Distorted perception

1 Stuffy nose 2 Panic reactions 4 Suicidal thoughts 5 Distorted perception

Which factor does the success of a patient going through a substance abuse treatment program depend on? 1 The motivation of the user 2 The effectiveness of group therapy 3 The type of assistance received while in the program 4 The treatment plan established by the health care provider

1 The motivation of the user

The nurse is caring for a patient admitted to the health care facility with acute alcohol toxicity. Which condition in a patient is a sign of Wernicke's encephalopathy? 1 Involuntary eye movement 2 Hypoglycemia 3 Potential for violence 4 Increased serum magnesium levels

1 Involuntary eye movement

A patient has been admitted to the medical surgical unit with a concussion and a fractured clavicle after a motor vehicle accident. When viewing the electronic medical record, the nurse notes that the patient had positive results for blood and urine alcohol, despite the patient reports of not having any problems with drugs or alcohol. Which explanation is the rationale for the patient's statements? 1 The patient is trying to avoid a ticket. 2 The patient is lying to avoid embarrassment. 3 A concussion can distort, alter, or eliminate parts of memory. 4 Denial is the predominant defense mechanism of substance abusers.

4 Denial is the predominant defense mechanism of substance abusers.

A nurse has been assigned a patient who abuses alcohol. The patient is at risk for delirium tremens (DTs). In monitoring the patient, which signs would alert the nurse to the development of DTs? 1 Stupor, severe agitation, muscle rigidity 2 Hypotension, ataxia, persistent vomiting 3 Hypotension, coarse hand tremors, agitation 4 Elevated temperature, hallucinations, and agitation

4 Elevated temperature, hallucinations, and agitation

An adolescent has no recollection of any events that transpired after consuming alcohol the previous night. Which drug was most probably added to the adolescent's drink? 1 Alprazolam 2 Clonidine 3 Methadone 4 Flunitrazepam

4 Flunitrazepam

Which intervention is a priority while providing care for an addicted patient being treated with chlordiazepoxide? 1 Avoiding between-meal snacks 2 Monitoring the patient's blood reports 3 Avoiding night-lights in the patient's room 4 Monitoring the patient's intake and output

4 Monitoring the patient's intake and output

A patient admitted with acute drug intoxication initially appears withdrawn and tries to avoid contact with others. By the third hour after arrival, the patient is pacing from one end of the unit to the other. As the pacing becomes more rapid, the patient makes vocal utterances that cannot be understood. The licensed practical/vocational nurse (LPN/LVN) recognizes escalation. Which action by the nurse would be appropriate? 1 Informing the patient that he has to stay in his room 2 Telling the patient that acting out is not allowed on the unit 3 Placing the patient in restraints to reduce the escalating behaviors 4 Notifying the nursing supervisor that a patient escalation is in progress

4 Notifying the nursing supervisor that a patient escalation is in progress

A student nurse is participating in data collection from newly pregnant patients who are starting routine prenatal visits. The student nurse becomes concerned when the patient makes which reply? 1 "I have been riding my bicycle at least three times per week." 2 "I enjoy a nice wine, but I limit myself to two glasses with dinner." 3 "I have had some morning sickness lately. I guess that is to be expected." 4 "I have been taking prenatal vitamins for the last 2 years, even though I just got pregnant."

2 "I enjoy a nice wine, but I limit myself to two glasses with dinner."

Which statement by the nurse about alcohol withdrawal syndrome indicates effective learning? 1 "Gastrointestinal bleeding can occur if a heavy drinker abruptly quits drinking." 2 "Tremors are seen in a patient who abruptly quits drinking." 3 "Seizures occur in the patient a few days after alcohol cessation." 4 "Younger people are more at risk for alcohol withdrawal syndrome."

2 "Tremors are seen in a patient who abruptly quits drinking."

A licensed practical/vocational nurse (LPN/LVN) is facilitating a group therapy session for patients with substance misuse and abuse problems. The nurse actively works to direct group communication, aware that the positive effect of group therapy is realized through which therapeutic effects? Select all that apply. 1 Helping the patient identify persons who may have caused addictive behaviors 2 Enabling and encouraging family members to participate in the patient's therapy 3 Helping the patient acknowledge the consequences of his or her addictive behaviors 4 Providing a formal mechanism for addicted patients to meet other addicted patients 5 Allowing the patient an opportunity to share interesting stories about intoxicated adventures 6 Confronting the patient's use of negative defense mechanisms such as denial or displacement

2 Enabling and encouraging family members to participate in the patient's therapy 3 Helping the patient acknowledge the consequences of his or her addictive behaviors 6 Confronting the patient's use of negative defense mechanisms such as denial or displacement

Which is an important instruction to increase alcohol abstinence in a patient? 1 Taking antianxiety drugs often 2 Attending family get-togethers often 3 Asking to avoid pubs and discotheques 4 Referring to Alcoholics Anonymous (AA)

4 Referring to Alcoholics Anonymous (AA)

A student nurse confides in a classmate that she is concerned about her own risks for addiction because both her mother and father misused and abused certain substances, especially marijuana. She understands that she may be more likely to use drugs because her parents did. Which lifestyle changes will the classmate encourage her to continue to develop to make her more resistant to addiction? Select all that apply. 1 Eat a healthy diet and drink plenty of water. 2 Maintain a positive self-image and a positive attitude. 3 Earn enough money to always stay above the poverty level. 4 Learn effective and healthy stress management techniques. 5 Use a different substance than her parents, such as alcohol, to reduce risk. 6 If at all possible, choose to live in a rural area as opposed to an urban area.

2 Maintain a positive self-image and a positive attitude. 4 Learn effective and healthy stress management techniques.

Which drug is the most commonly used illegal drug in the United States? 1 Cocaine 2 Marijuana 3 Phencyclidine (PCP) and lysergic acid diethylamide (LSD) 4 3,4-methylenedioxymethamphetamine (MDMA; Ecstasy)

2 Marijuana

The nurse is caring for a patient who has been abusing a central nervous system (CNS) depressant and anticipates finding which signs and/or symptoms during the assessment process? Select all that apply. 1 Agitation 2 Memory loss 3 Dilated pupils 4 Slurred speech 5 Decreased respirations 6 Increased hunger and thirst

2 Memory loss 4 Slurred speech 5 Decreased respirations

Which conditions are seen in a patient who has been taking methylphenidate (Ritalin) for a long time? Select all that apply. 1 Sinusitis 2 Paranoia 3 Weight loss 4 Hallucinations 5 Severe depression

2 Paranoia 3 Weight loss 4 Hallucinations

The nurse caring for a patient admitted to the health care facility for drug overdose observes track marks on the patient. Which potential health problems does the nurse expect the provider to evaluate for in the patient? Select all that apply. 1 Septal necrosis 2 Phlebitis 3 HIV/AIDS 4 Hepatitis B and C 5 Chronic sinusitis

2 Phlebitis 3 HIV/AIDS 4 Hepatitis B and C

A patient is admitted to the substance abuse treatment facility with a diagnosis of heroin addiction and is expected to go into withdrawal within 6 hours. For which signs and symptoms will the nurse monitor the patient? 1 Bradycardia, hypotension, and hypothermia 2 Vomiting, cramps, diarrhea, and hypertension 3 Pinpoint pupils, hypotension, fever, and vomiting 4 Tachycardia, hypoglycemia, and severe constipation

2 Vomiting, cramps, diarrhea, and hypertension

Which concept do the four elements of excessive use or abuse—display of psychological disturbance, decline of social and economic function, and uncontrollable consumption indicating dependence—define? 1 Abuse 2 Addiction 3 Alcoholism 4 Addictive personality

2 Addiction

The clinical tests of a patient indicate elevated levels of liver enzymes, hypoglycemia, and abnormal blood protein levels. The patient does not have any chronic diseases. For which condition does the nurse assess? 1 Pneumonitis 2 Alcohol addiction 3 Delirium tremens 4 Altered perception

2 Alcohol addiction

Which drugs are classified as central nervous system (CNS) depressants? Select all that apply. 1 Caffeine 2 Barbiturates 3 Amphetamines 4 Benzodiazepines 5 Opioid analgesics

2 Barbiturates 4 Benzodiazepines 5 Opioid analgesics

Which subjective data does the nurse collect while assessing a patient with substance abuse? Select all that apply. 1 Presence of tachycardia 2 Complaints of nausea or pain 3 The patient's drinking pattern 4 The date and time of last drink 5 Presence of small scabs on the forearms

2 Complaints of nausea or pain 3 The patient's drinking pattern 4 The date and time of last drink

The nurse is informing a pregnant patient about the effects of alcohol consumption during pregnancy. Which fetal effects does the nurse include in the education? Select all that apply. 1 Macrosomia 2 Growth disorders 3 Delirium tremens 4 Mental retardation 5 Craniofacial abnormalities

2 Growth disorders 4 Mental retardation 5 Craniofacial abnormalities

The nurse observes that one of the team members is often absent from the unit. The team member also exhibits excessive discrepancies in documenting procedures that are related to controlled substances. Which action should the nurse take? 1 Keep a watch on the team member. 2 Report the behavior to the supervisor. 3 Help the team member with a few tasks. 4 Ask the team member if there is any problem.

2 Report the behavior to the supervisor.

A nurse is caring for a patient who is suspected of drug dependence. Which questions are the most appropriate for the nurse to ask? 1 "Why and when did you start doing illegal drugs?" 2 "How long were you going to try to hide this from your friends?" 3 "What type, how much, and what effects do the drugs have on you?" 4 The nurse does not ask questions about drugs for fear the patient might deny any problems.

3 "What type, how much, and what effects do the drugs have on you?"

Which condition is associated with delirium tremens (DTs)? 1 Fetal alcohol syndrome 2 Overdose of opioid analgesics 3 Excessive alcohol consumption 4 Amotivational cannabis syndrome

3 Excessive alcohol consumption

Over the years, several theories have evolved about the cause of alcoholism, and treatment modalities have changed in accordance with new information and understanding. The nurse who has worked for many years in the treatment of substance misuse and abuse based on which cause of alcoholism will have difficulty including the newer theories in his or her care? 1 Familial trait 2 Ethnic trait 3 Moral failing 4 Biologic cause

3 Moral failing

Experts have identified the disease of dependence as a chronic, incurable, progressive one. In the course of interviewing the patient, the nurse discovers that the patient has been consuming alcohol on a daily basis for "a couple of years." He says he just doesn't feel "right" until he gets a drink or two. He recently was fired from his job after he got into a physical confrontation with a coworker. The patient appears slender, somewhat malnourished, and anxious. The nurse identifies that the patient is most likely in which stage of dependence? 1 The late stage 2 The early stage 3 The middle stage 4 The stage cannot be identified.

3 The middle stage

The nurse observes a loss of appetite in a patient being treated for addiction. Which prescription would most likely be prescribed by the health care provider? 1 Phenytoin 2 Propranolol 3 Thiamine 4 Chlordiazepoxide

3 Thiamine

A 59-year-old homeless man is admitted with diagnoses of hypothermia and pneumonia. The nurse notes that the patient is malnourished and has multiple ecchymotic areas on his arms and legs. The nurse also notes the odor of alcohol coming from the patient. In addition to being alert to the consequences of hypothermia and pneumonia, to which other signs and symptoms should the nurse be alert during her shift? 1 Rebound hyperthermia and burn injuries to skin 2 Decreasing level of consciousness and bradypnea 3 Tremors, diaphoresis, disorientation, and restlessness 4 Dyspnea, hypotension, bounding pulse, and urinary retention

3 Tremors, diaphoresis, disorientation, and restlessness

The nurse is caring for a patient injured in a car crash. The patient is manifesting signs of major alcohol withdrawal syndrome. Which symptoms will be seen in the patient? Select all that apply. 1 Sweating 2 Nausea 3 Visual hallucinations 4 Gross tremors 5 Seizures

3 Visual hallucinations 4 Gross tremors 5 Seizures

A nurse is caring for a patient who has stopped drinking and runs the risk of alcohol withdrawal syndrome. The nurse monitors the patient, knowing that tremors from alcohol cessation are usually seen how long after cessation? 1 Within 6 days 2 Within 1 week 3 Within 6 hours 4 Within 2 to 3 weeks

3 Within 6 hours

Which statement by the nurse about the effects of alcohol indicates effective learning? 1 "Alcohol does not affect hunger, thirst, and sexual desire." 2 "Alcohol heightens judgment and the feelings of pleasure." 3 "Alcohol affects the frontal cortex, which governs self-control." 4 "Rapid and large-quantity consumption of alcohol causes death."

3 "Alcohol affects the frontal cortex, which governs self-control."

Which statement by the nurse about the use of ketamine indicates effective learning? 1 "It is consumed by dissolving in alcohol." 2 "It is unlikely to cause any serious injuries." 3 "Most of it is sold as an anesthetic drug for veterinary use." 4 "It has been a popular club drug since the 1980s."

3 "Most of it is sold as an anesthetic drug for veterinary use."

The nurse is caring for a patient admitted to the health care facility for an overdose of benzodiazepines. Which intervention should the nurse implement immediately? 1 Review the health history. 2 Evaluate urine drug levels. 3 Ensure the patient's airway is clear. 4 Obtain the history of substance use.

3 Ensure the patient's airway is clear.

Which drug gained notoriety in the 1990s, is associated with club drug use, and is often called the "date-rape drug"? 1 Morphine 2 Opioid analgesic heroin 3 Flunitrazepam (Rohypnol) 4 Gamma-hydroxybutyrate (GHB)

3 Flunitrazepam (Rohypnol)

The parents ask the nurse why their alcohol-addicted adolescent is prescribed disulfiram (Antabuse) during the rehabilitation phase. Which is the best response by the nurse? 1 "It will have a calming effect." 2 "It will help increase appetite." 3 "It will prevent the risk for seizure activity." 4 "It will encourage abstinence from alcohol consumption."

4 "It will encourage abstinence from alcohol consumption."

The school nurse is speaking to a group of adolescents about drug and alcohol abuse. When listening to the school nurse talk about drug and alcohol abuse, a student asks the nurse, "Why do people make such a big deal about drinking alcohol? Having a beer every now and then doesn't seem that dangerous. In France, there isn't even a legal drinking age." The school nurse correctly makes which response? 1 "It's my job to make a big deal about drug and alcohol abuse, that's why." 2 "A person must be 21 years of age to buy and consume alcohol in the United States." 3 "Alcohol carries the highest risk of dependence and addiction of all known substances." 4 "Many multidrug users began by abusing alcohol and progress to abusing other substances."

4 "Many multidrug users began by abusing alcohol and progress to abusing other substances

A patient is worried that use of opioids for pain management after a surgery might develop into an addiction. Which response by the nurse would be appropriate? 1 "You have to take medications that are prescribed for you." 2 "You will be referred for rehabilitation in case of addiction." 3 "It is more important to control pain than worry about addiction." 4 "Nonopioids, which do not cause addiction, will be used after a few days."

4 "Nonopioids, which do not cause addiction, will be used after a few days."

While providing care to patients that include a large population of Native Americans, the student notices that several of the patients seen during the rotation are exhibiting the consequences of long-term alcohol abuse. The student nurse has heard stories that Native Americans drink more and asks the nurse practitioner to validate her perception. Which response from the nurse practitioner would be appropriate? 1 "They don't drink any more than anyone else; they just get sicker from it." 2 "They drink a lot because all of their liquor is discounted or free at the casinos." 3 "They drink because that is all they have left to do. Everything else has been taken from them." 4 "Physiologic differences, such as reduced liver enzymes, make their incidence of alcoholism greater."

4 "Physiologic differences, such as reduced liver enzymes, make their incidence of alcoholism greater."

A student nurse is administering medications to a patient who has recently undergone detoxification with a diagnosis of alcohol abuse. The medications that have been prescribed include B1 (thiamine), B9 (folic acid), and B12 (cobalamin). The patient questions whether the student nurse is giving him something to "knock him out" or "shut him up." Which response by the student nurse would be appropriate? 1 "The medications are relaxing, but not to the point of knocking you out." 2 "The medications are part of the facility therapy. Every patient gets them." 3 "The medications are supplements only. You can always refuse them if you want." 4 "The medications are supplements to address vitamin deficiencies common to alcohol abuse."

4 "The medications are supplements to address vitamin deficiencies common to alcohol abuse."

A patient says that he drinks alcohol on a regular basis. During his discussion with the nurse, the patient admits to "having a problem." To which support group would the nurse refer the patient? 1 Al-Anon 2 Fresh Start 3 Families Anonymous 4 Alcoholics Anonymous

4 Alcoholics Anonymous

A patient who is addicted to alcohol is undergoing detoxification in a drug treatment facility. Approximately 8 hours after admission, the nurse notes that the patient is experiencing tremors of the hands, nervousness, and restlessness, which are worsening. When the nurse contacts the provider, which prescriptions does the nurse expect from the primary care provider? 1 Naloxone or disulfiram 2 Haloperidol or risperidone 3 Furosemide or spironolactone 4 Chlordiazepoxide or lorazepam

4 Chlordiazepoxide or lorazepam

A school nurse asks a group of high school-age students to write down the last time they used alcohol or other illicit substance and to describe the circumstances associated with that occurrence. The nurse then examines them for evidence of a problem with dependence. The nurse identifies which student in the group as exhibiting the strongest indicator of dependence? 1 The student who had two glasses of wine with family members at dinner. 2 The student who drank three cans of beer and vomited at an after-prom party. 3 The student who had a "puff" of marijuana with an older brother who was home from college. 4 The student who removed several ounces of vodka from the parents' supply and replaced it with water.

4 The student who removed several ounces of vodka from the parents' supply and replaced it with water.

A 17-year-old female high school student presents to the emergency room and speaks to the nurse stating that she can't remember anything about a party she attended last night, including whether she was engaged in sexual activity. The nurse asks if the young woman consumed any drinks prepared by someone else at the party. The young woman states that she did. The primary care provider recommends a SANE (Sexual Assault Nurse Examiner) exam. For which medication will the young woman be screened during the exam? 1 Alprazolam 2 Gabapentin 3 Valproic acid 4 Gamma-hydroxybutyrate (GHB)

4 Gamma-hydroxybutyrate (GHB)