Ch. 57-Substance Abuse Disorders

A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies

drug tolerance

The family of a client withdrawing from heroin asks a nurse why the client is receiving naltrexone (ReVia). Which response is correct?

"It's used to help reverse withdrawal symptoms."

A 28-year-old patient comes into the emergency department with complaints of chest pain. The blood pressure is 170/108, heart rate 116, and respiratory rate 32. The patient states that she has "used drugs." Which substance would the nurse question about the use of?

Cocaine

You have admitted a client diagnosed with substance abuse intoxication to your unit. What will your nursing assessment be directed toward first?

Data regarding drug use

A nurse is working in the emergency department and is assigned to a patient brought in by family members. The family thinks that the patient is on methamphetamine. Which of the following will the nurse assess for?

Hypertension

The nurse is admitting a patient with acute alcohol intoxication. What is the priority intervention for this patient?

Maintain a patent airway

Which of the following medication is a narcotic antagonist?

Naloxone (Narcan)

A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following?

Nausea

When caring for a client with alcohol dependence who is prescribed a benzodiazepine, which of the following side effects is it most important that the nurse monitor for?

Sedation

The nurse is taking a history from a patient who states that she smokes marijuana daily. The patient says, "It mellows me out and helps me to cope with the stresses of life. I go sometimes without it and it doesn't bother me." What does the nurse determine is this patient's issue with the substance?

The patient has developed a psychological dependence for marijuana.