Fluid and Electrolytes (Fluid volume deficit)

A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the education was successful when the client states what? "I can have a glass of wine with dinner if I choose." "I should eat small frequent meals if I get nauseated." "I should take the drug on an empty stomach." "I might experience diarrhea with this drug."

"I should eat small frequent meals if I get nauseated."

A female client asks why it is not legal to have a year's worth of prescription refills for Ritalin, since she has been on it for more than a year. She would also like to have the largest dose possible, so she can use the prescription for 2 months, instead of one. She explains that it is very hard to get off work and come in for appointments. The nurse's best response would be: "You have to come in at least every month to have blood work done." "You will speak with her health care provider about getting her a new prescription." "It is important that you take the largest dose possible to keep the condition under control." "The prescription dose is always started as low as possible and the refills are monitored to prevent abuse."

"The prescription dose is always started as low as possible and the refills are monitored to prevent abuse."

A nurse in the substance abuse unit is trying to encourage a client to attend Alcoholics Anonymous (AA) meetings. When the client asks the nurse how to become a member, the nurse should respond: "You must first stop drinking." "Your physician must refer you to this program." "You admit that you need help." "You bring along a friend who will support you."

"You admit that you need help."

The nurse is performing a history and physical examination on a client with chronic alcoholism. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. Which of these conditions are attributable to the client's history of alcohol abuse? Pancreatitis and elevated liver enzymes Gastritis and elevated liver enzymes Pancreatitis, esophagitis, gastritis, and elevated liver enzymes All the conditions are attributable to the alcohol abuse

All the conditions are attributable to the alcohol abuse

The mental health nurse recognizes that genetic intolerance of alcohol has been documented among which ethnic group? Asians Africans Italians Germans

Asians

Safe alcohol withdrawal usually is accomplished with the administration of which medication classification? Benzodiazepines Antipsychotics Antidepressants Anticonvulsants

Benzodiazepines

Which agency is responsible for the enforcement of controlled substances? U.S. Department of Justice Drug Enforcement Agency Department of Health and Human Services Food and Drug Administration

Drug Enforcement Agency

A client has a history of consuming alcohol almost daily while pregnant. Her newborn baby has growth deficiency and facial malformations. What is the name for the pattern of birth defects that can occur due to exposure to alcohol? Prenatal alcohol syndrome Natal alcohol syndrome Fatal alcohol syndrome Fetal alcohol syndrome

Fetal alcohol syndrome

A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified as which type of substance? Hallucinogen Opioid Inhalant Cannabis

Hallucinogen

An adolescent male tells the nurse that he has been smoking cigarettes for the last 3 years. The nurse recognizes that this adolescent is at the greatest risk of substance abuse based upon what family history finding? He is from a family of higher socioeconomic status. He is the oldest child in the family. He is a B to C student in school. He has been previously diagnosed with depression.

He has been previously diagnosed with depression.

The nurse in an outpatient rehabilitation program is speaking with a group of clients who have recently recovered from alcohol abuse. Which issue should the nurse raise before the clients leave for the day? Remind them that substance dependency is a disease, not a mental disorder. Suggest that they try to confront other issues in their lives, such as estranged relationships or financial issues. Help them to identify appropriate diversional activities. Ask them to make a list of all the people they harmed during their addictions.

Help them to identify appropriate diversional activities.

When a client is working toward the prevention of an alcohol abuse relapse, the nurse is acting in a therapeutic role when doing what? Helping the client identify positive coping mechanisms Discussing the pros and the cons of alcohol abuse Monitoring the effects of treatment Providing education to the client's family

Helping the client identify positive coping mechanisms

A 47-year-old client has been admitted to the hospital after being found unconscious in a park. Upon regaining consciousness, the client admits to heavy alcohol use over many years. Assessment reveals a low body mass index, low electrolyte levels, and impaired skin integrity. Vital signs are within normal ranges. What nursing diagnosis should be prioritized in the care of this client? Risk for injury related to chronic alcohol intake Deficient knowledge regarding the effects of alcohol intake Imbalanced nutrition: less than body requirements related to chronic alcohol intake Ineffective coping related to effects of chemical use

Imbalanced nutrition: less than body requirements related to chronic alcohol intake

Students are reviewing information about substance abuse and its effects on individuals and families. The students demonstrate understanding of this topic when they identify which of the following? Substance abuse is most frequently seen in outpatient settings. Substance abuse applies primarily to the use of illegal drugs. Individuals use substances to enhance their decision-making ability. Individuals with substance abuse often have difficulty using adaptive behaviors.

Individuals with substance abuse often have difficulty using adaptive behaviors.

When discussing methadone treatment with a client, the nurse should include what? It decreases the severity of heroin withdrawal symptoms. The cure rate is extremely high. It takes 1 to 2 years to cure an opiate addict. It is a nonaddictive treatment.

It decreases the severity of heroin withdrawal symptoms.

The nurse admitted a client who overdosed on an unknown drug. The fact that the client appears to be experiencing psychosis should suggest what possible drug to the nurse? LSD Heroin Fentanyl OxyContin

LSD

Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions? Vital signs and medications as prescribed Observation for symptoms, vital signs, seizure and fall precautions, medications as ordered Suicide precautions because suicide attempts are frequent during withdrawal Seizure precautions and vital signs

Observation for symptoms, vital signs, seizure and fall precautions, medications as ordered

What should the nurse do when caring for a client with alcoholism who is diagnosed with Imbalanced Nutrition: Less than Body Requirements? Obtain a baseline weight Encourage daily exercise Avoid providing liquid sleep medications Avoid providing foods that contain alcohol

Obtain a baseline weight

The psychiatric nurse correctly identifies the client's form of communication as circumstantiality when the client does what? Provides long, irrelevant explanations when asked why the client abuses alcohol. Fails to complete what the client is saying as if distracted. Answers the question, "May we talk?" by responding, "Walk the walk." Repeats the phrase, "Mary had a little lamb," whenever feeling stressed.

Provides long, irrelevant explanations when asked why the client abuses alcohol.

The nurse has received a client into care who was admitted with a heroin overdose. The client has a 5-year history of illicit substance use with cocaine, heroine and oxycodone. The client develops a sudden onset of wheezing, restlessness and a cough that produces a frothy, pink sputum. The nurse suspects the client has most likely developed which complication of opioid overdose? Pulmonary edema Pneumonia Congestive heart failure Panic attack

Pulmonary edema

Children of parents who abused alcohol and substances are able to develop self-esteem and self-efficacy by developing which characteristics? Resilience Hardiness Social skills Tolerance

Resilience

Which schedule drugs have high abuse potential and no accepted medical use? Schedule I Schedule II Schedule III Schedule IV

Schedule I

A nursing student is aware that which accounts for more deaths, illnesses, and disabilities across the life span than any other preventable condition? Motor vehicle accidents Substance abuse disorders Falls Mood disorders

Substance abuse disorders

Which factor would contraindicate the use of disulfiram in the treatment of a client who has an alcohol use disorder? The client has a demonstrated family history of alcoholism. The client engages in binge drinking a few times a week rather than drinking consistently each day. The client uses marijuana in addition to alcohol. The client had six drinks a few hours ago.

The client had six drinks a few hours ago.

When a person can ingest an increasing amount of alcohol before he or she experiences a "high" and begins to show effects on cognitive and motor skills, it is termed which of the following? Tolerance Detoxification Relapse Addiction

Tolerance

Which term describes a situation that occurs when very small amounts of alcohol intoxicates the person after continued heavy drinking? Tolerance break Blackout Tolerance Intoxication

Tolerance break

The most common use disorder among children and adolescents is: marijuana. oxycodone. alcohol. ecstasy.

alcohol.

Which drugs may be abused because of tolerance and physiologic dependence? lithium and divalproex verapamil and chlorpromazine alprazolam and phenobarbital clozapine and amitriptyline hydrochloride

alprazolam and phenobarbital

The nurse is caring for an infant born to a mother with cocaine use disorder during her pregnancy. The nurse would likely notice that this infant: cries when touched. sleeps for long periods of time. weighed above average when born. has facial deformities.

cries when touched. Developmental delays occur in young children of mothers with a substance use disorder. Infants of mothers with cocaine use disorder do not like to be touched or held and avoid the caregiver's gaze, which contributes to bonding delays. Infants of mothers with cocaine use disorder are often restless and below average weight when born.

A nursing instructor is describing the effects of CNS stimulants and their potential for addiction due to their euphoric sensations. The instructor determines that the discussion was successful when the students identify which substance as being involved with this pleasurable feeling? dopamine serotonin epinephrine norepinephrine

dopamine

A nurse is working in the emergency department and is assigned to a client brought in by family members. The family thinks that the client is on methamphetamine. The nurse should assess for: increased appetite. hypertension. bradycardia. stupor.

hypertension.

A client reporting to the emergency department reports possible ingestion of "that date rape drug." The nurse suspects that the client is referring to what drug? cocaine morphine LSD rohypnol

rohypnol

When caring for a client with alcohol dependence who is prescribed a benzodiazepine, which side effects is it most important that the nurse monitor for? insomnia sedation increased thirst anxiety

sedation