NURS 302 module 1 practice questions

A nurse working in an outpatient clinic is teaching a client who has tobacco use disorder about the use of varenicline. What is the therapeutic use of this drug?

- Varenicline is used to reduce cravings for nicotine as well as the severity of withdrawal manifestations. - Varenicline also reduces the incidence of relapse by blocking the desired effects of nicotine.

The clinical history of a client with alcoholism shows an excessive amount of serous fluid accumulation in the abdominal cavity. Which condition does the client have? A. Ascites B. Azotemia C. Somnolence D. Esophageal varices

A. Ascites

Which of the following are predisposing factors to substance use disorders? Select all that apply. A. Depression B. Genetics C. Peer pressure D. Modeling E. Irrational thinking patterns

A. Depression B. Genetics D. Modeling E. Irrational thinking patterns

Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Effects of opioid use disorder: A. Euphoria B. Drowsiness C. Respiratory depression D. Diarrhea E. Increased sexual function F. Mood changes G. Pupillary dilation H. Hypotension

A. Euphoria B. Drowsiness C. Respiratory depression F. Mood changes H. Hypotension

Which of the following complications would the nurse expect to find with cirrhosis of the liver? Select all that apply. A. Gastritis B. Ascites C. Hepatic encephalopathy D. Esophageal varices E. Portal hypotension

A. Gastritis B. Ascites C. Hepatic encephalopathy D. Esophageal varices E. Portal hypotension

Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Diagnostic criteria of substance use disorder: A. Withdrawal B. Tolerance C. Control D. Risky use E. Cravings F. Socially outgoing G. Recurrent use H. Codependency

A. Withdrawal B. Tolerance C. Control D. Risky use E. Cravings G. Recurrent use

A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates an understanding of the teaching? (Select all that apply.) A. "We need to understand that our sibling is responsible for their disorder." B. "Eliminating codependent behavior will promote recovery." C. "Our sibling should participate in an Al‐Anon group to assist with recovery." D. "The primary goal of treatment is abstinence from substance use." E. "Our sibling needs to discuss personal feelings about substance use to help with recovery."

B. "Eliminating codependent behavior will promote recovery." D. "The primary goal of treatment is abstinence from substance use." E. "Our sibling needs to discuss personal feelings about substance use to help with recovery."

A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. Which of the following statements by the client indicates an understanding of the teaching? A. "Taking this medication will help reduce my craving for heroin." B. "While taking this medication, I should keep a pack of sugarless gum." C. "I can expect some diarrhea from taking this medicine." D. "Each dose of this medication should be placed under my tongue to dissolve."

B. "While taking this medication, I should keep a pack of sugarless gum."

A client is admitted to the emergency department with methanol poisoning. Which antidote would the nurse arrange for this client? A. Psilocin B. Alcohol C. Amphetamine D. Phenylpropanolamine

B. Alcohol

Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Effects of large doses of sedative, hypnotic, and anxiolytic drugs: A. Euphoria B. Drowsiness C. Respiratory depression D. Diarrhea E. Increased sexual function F. Mood changes G. Decreased body temperature H. Hypotension

B. Drowsiness C. Respiratory depression G. Decreased body temperature H. Hypotension

A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply.) A. Bradycardia B. Fine tremors of both hands C. Hypotension D. Vomiting E. Restlessness

B. Fine tremors of both hands D. Vomiting E. Restlessness

A 19-year-old client has been admitted to the ED after snorting heroin with her boyfriend. She has pinpoint pupils and is unconscious. The client's priority nursing diagnosis is: A. Risk for imbalanced fluid volume. B. Ineffective breathing pattern. C. Disturbed sensory perception. D. Impaired physical mobility.

B. Ineffective breathing pattern.

Which behavioral symptoms will be observed in a child with fetal alcohol syndrome? Select all that apply. A. Passive behavior B. Learning disabilities C. Intellectual disability D. Ineffective communication E. Absence of judgmental skills

B. Learning disabilities C. Intellectual disability D. Ineffective communication

Which action would neomycin produce when a client with alcoholic use disorder is treated for hepatic encephalopathy? A. Suppresses urinary function B. Reduces intestinal ammonia C. Eliminates protein in the diet D. Induces complete abstention from alcohol in the client

B. Reduces intestinal ammonia

A nurse is assessing a patient who presents to the emergency department with a history of blackouts, has been binge drinking, and was just expelled from college. Which phase of drinking with alcohol use disorder is this client in? A. The Prealcoholic Phase B. The Crucial Phase C. The Chronic Phase D. The Early Alcoholic Phase

B. The Crucial Phase

A patient presents to the clinic with a report of fatigue and difficulty concentrating. Which additional statement made by the patient would alert the healthcare provider to possible marijuana use? A. "I feel anxious and have trouble sleeping." B. "I feel nauseous and don't feel like eating." C. "I've noticed that my eyes are red lately." D. "I keep having really vivid and scary nightmares."

C. "I've noticed that my eyes are red lately."

A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? A. Chlordiazepoxide B. Bupropion C. Disulfiram D. Carbamazepine

C. Disulfiram

Which phase of alcohol abuse is characterized by the use of alcohol to relieve the everyday stress and tensions of life? A. Crucial phase B. Chronic phase C. Prealcoholic phase D. Early alcoholic phase

C. Prealcoholic phase

Which medication can be used as a form of self-medication to alleviate depression? A. Phenobarbital B. Chlordiazepoxide C. Desipramine D. Amphetamine

D. Amphetamine

Which of the following medications is the physician most likely to order for a client experiencing alcohol withdrawal syndrome? a. Haloperidol (Haldol) b. Chlordiazepoxide (Librium) c. Methadone (Dolophine) d. Cannabidiol (Epidiolex)

b. Chlordiazepoxide (Librium)

A client admitted to the inpatient detoxification program for alcohol withdrawal approaches the nurse complaining of nausea and feeling shaky. The nurse notices that the client has hand tremors and appears diaphoretic. Which of these nursing interventions is a priority? a. Check the client's temperature. b. Send a urine sample to the laboratory for a random drug screen. c. Ask the client if there is anything that he is particularly stressed about. d. Administer prn benzodiazepine that was ordered for management of withdrawal symptoms.

d. Administer prn benzodiazepine that was ordered for management of withdrawal symptoms.

A nurse is caring for a client who has cocaine use disorder and is experiencing severe effects of intoxication. Describe two forms of nonpharmacological therapy.

- Cognitive behavioral therapies decrease anxiety and promote a change in behavior. - Acceptance and commitment therapy promotes acceptance of the client and promotes a commitment to change. - Relapse prevention therapy assists clients in identifying relapse and promotes self‐control. - Group therapy allows clients who have similar diagnoses to work together toward recovery. - Family therapy allows the client and family members to work together toward recovery. - Narcotics Anonymous provides a 12‐step program to promote recovery and abstinence from future substance use.

A nurse working in an outpatient clinic is teaching a client who has tobacco use disorder about the use of varenicline. Identify at least three nursing interventions.

- Instruct the client to take medication after a meal. - Monitor blood pressure during treatment. - Assess for diabetes mellitus. - Monitor clients who have diabetes mellitus for loss of glycemic control. - Advise the client to follow instructions for titration to minimize adverse effects. - Advise the client to notify the provider if nausea, vomiting, insomnia, new‐onset depression, or suicidal thoughts occur. - Determine if the client is a commercial truck or bus driver, air traffic controller, or airplane pilot.

A nurse is caring for a client who has cocaine use disorder and is experiencing severe effects of intoxication. Describe two nursing interventions.

- Perform a nursing self‐assessment. - Maintain a safe environment. - Implement seizure precautions. - Orient the client to time, place, and person. - Create a low‐stimulation environment. - Monitor the client's vital signs and neurologic status.

A nurse is caring for a client who has cocaine use disorder and is experiencing severe effects of intoxication. Identify two client outcomes.

- The client will verbalize coping strategies to use in times of stress. - The client will remain substance‐free. - The client will remain free from injury. - The client will attend a 12‐step program regularly.

A nurse working in an outpatient clinic is teaching a client who has tobacco use disorder about the use of varenicline. What is the expected pharmacological action?

- Varenicline is a nicotinic receptor agonist that promotes the release of dopamine to simulate the pleasurable effects of nicotine.

A client who was recently diagnosed with peripheral neuropathy asks the nurse, "My fingers and toes are burning. How can I stop this pain?" How would the nurse respond to the client? A. "Abstinence from alcohol and better nutrition will help resolve your condition." B. "Consult a primary health-care provider. This may lead to permanent muscle wasting and paralysis." C. "The severity of the condition depends on the concentration of hepatic enzymes." D. "Consider avoiding green peas and oatmeal in your diet."

A. "Abstinence from alcohol and better nutrition will help resolve your condition."

The nurse is educating a client on disulfiram therapy about necessary precautions. Which statement of the client would most likely indicate effective learning? A. "I should avoid alcohol." B. "I should avoid cocaine." C. "I should avoid nicotine." D. "I should avoid marijuana."

A. "I should avoid alcohol."

A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply.) A. "Methadone is a replacement for physical dependence to opioids." B. "Methadone reduces the unpleasant effects associated with abstinence syndrome." C. "Methadone can be used during opioid withdrawal and to maintain abstinence." D. "Methadone increases the risk for acetaldehyde syndrome." E. "Methadone must be prescribed and dispensed by an approved treatment center."

A. "Methadone is a replacement for physical dependence to opioids." B. "Methadone reduces the unpleasant effects associated with abstinence syndrome." C. "Methadone can be used during opioid withdrawal and to maintain abstinence." E. "Methadone must be prescribed and dispensed by an approved treatment center."

A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? A. "This medication will help prevent seizures during alcohol withdrawal." B. "Taking this medication will decrease your cravings for alcohol." C. "This medication maintains your blood pressure at a normal level during alcohol withdrawal." D. "Taking this medication will improve your ability to maintain abstinence from alcohol."

A. "This medication will help prevent seizures during alcohol withdrawal."

The nurse would expect to find which of the following diagnostic criteria in a patient with a substance use disorder? Select all that apply. A. Cravings B. Tolerance C. Conditioning D. Withdrawal E. Genetics

A. Cravings B. Tolerance D. Withdrawal

Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Substance use disorder predisposing factors: A. Culture and ethnicity B. Depression C. Conditioned response D. Punitive superego E. Fixation in anal stage of psychosexual development F. Irrational thinking G. Role modeling H. Genetics

A. Culture and ethnicity B. Depression C. Conditioned response D. Punitive superego F. Irrational thinking G. Role modeling H. Genetics

Which of the following is true in regard to anxiolytics? Select all that apply. A. Multiple anxiolytics used together can cause excessive sedation and even death. B. Anxiolytics have the potential for abuse. C. Anxiolytics can cause other similar medications to work more effectively. D. Anxiolytics can cause a psychological need for the substance. E. Anxiolytics should be avoided in alcohol withdrawal

A. Multiple anxiolytics used together can cause excessive sedation and even death. B. Anxiolytics have the potential for abuse. C. Anxiolytics can cause other similar medications to work more effectively. D. Anxiolytics can cause a psychological need for the substance.

Which symptoms would the nurse expect to observe in a client with suspected inhalant intoxication? Select all that apply. A. Nystagmus B. Dysphoria C. Hyperactive reflexes D. Slurred speech E. Generalized muscle weakness

A. Nystagmus D. Slurred speech E. Generalized muscle weakness

A client tells the nurse at the methadone clinic that he has a prescription for methadone 40 mg daily orally. The nurse recognizes that methadone maintenance can be used as an effective drug replacement for individuals addicted to: A. Opiates B. Amphetamines C. Barbiturates D. Hallucinogens

A. Opiates

Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Symptoms in phases of alcohol use disorder: A. Phase 1 - alcohol is used to relive everyday stress B. Phase 1 - tolerance begins to develop C. Phase 2 - blackouts occur D. Phase 2 - not worried about drinking E. Phase 3 - still has control F. Phase 3 - periods of binge drinking G. Phase 4 - withdrawal symptoms occur when not drinking H. Phase 4 - feels helpless and depressed

A. Phase 1 - alcohol is used to relive everyday stress B. Phase 1 - tolerance begins to develop C. Phase 2 - blackouts occur F. Phase 3 - periods of binge drinking G. Phase 4 - withdrawal symptoms occur when not drinking H. Phase 4 - feels helpless and depressed

Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Fetal alcohol syndrome characteristics and behaviors: A. Problems with memory B. Poor coordination C. Learning disabilities D. Hypoactive behavior E. Increased concentration F. Poor reasoning G. Language delays H. Good judgment

A. Problems with memory B. Poor coordination C. Learning disabilities F. Poor reasoning G. Language delays

Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Characteristics of codependency: A. Relinquishes personal identity B. Sets clear boundaries C. Forgoes own needs to take care of others D. Never feels good enough E. Does not need approval from others F. Usually happy with oneself G. Has a stable functional family H. Feels responsible for fixing problems of others

A. Relinquishes personal identity C. Forgoes own needs to take care of others D. Never feels good enough H. Feels responsible for fixing problems of others

A client who is a heavy smoker reports a reduction in excretion of urine. Which statement describes the rationale for this occurrence? A. Stimulation of the hypothalamus B. Stimulation of ganglionic synapses C. Stimulation of the central nervous system D. Stimulation of the sympathetic nervous system

A. Stimulation of the hypothalamus

Which risk factors can the nurse suspect in a client who has been withdrawn from therapy of central nervous system (CNS) depressants? Select all that apply. A. Tachycardia B. Hypertension C. Hallucinations D. Suicidal ideation E. Intense feeling of lassitude

A. Tachycardia B. Hypertension C. Hallucinations

A client who has been on the unit for two (2) weeks relates a 15-year history of polysubstance abuse with several detoxifications followed by relapses. The client mentions that when he is released from the hospital, he tries to "get on with my life and put this other stuff in the past." The nurse identifies an appropriate outcome as being that client will: A. View recovery is a lifelong process occurring a day at a time. B. Discuss childhood factors that impact on his drug use. C. Recognize his need for methadone maintenance. D. Identify reasons for past episodes of noncompliance.

A. View recovery is a lifelong process occurring a day at a time.

Can you differentiate the substance-related and addictive disorders? Drag and drop relevant clinical manifestations, assessment findings, and other pertinent data for each disorder. Physical effects of chronic alcohol use disorder: A. Wernicke-Korasakoff syndrome B. Cardiomyopathy C. Esophagitis D. Hepatitis E. Esophageal varices F. Leukopenia G. Thrombocytopenia H. Pancreatitis

A. Wernicke-Korasakoff syndrome B. Cardiomyopathy C. Esophagitis D. Hepatitis E. Esophageal varices F. Leukopenia G. Thrombocytopenia H. Pancreatitis

During the admission interview, a patient mentions to the nurse that he had increased the amount of oxycodone because the smaller dose "just wasn't doing it for me anymore." The nurse assesses this phenomenon as resulting from: A. tolerance. B. withdrawal. C. intoxication. D. relapse.

A. tolerance.

A priority nursing diagnosis for a 25-year-old client admitted to a drug rehabilitation program 4 days ago for chronic cocaine abuse would be: A. Risk for self-directed violence related to hyperactivity. B. Risk for self-directed violence related to suicidal depression. C. Risk for noncompliance related to chronic drug use. D. Disturbed sensory perception related to stimulant drug use.

B. Risk for self-directed violence related to suicidal depression.

The nurse recognizes that a problematic pattern of substance use disorder is characterized by which of the following? Select all that apply. A. A shift from use by choice use to compulsive use that is manifested in a narrowing of focus regarding the substance. B. The development of tolerance to the effects of and withdraw from the substance. C. Continued risky use despite consequences to physical and psychological health. D. Issues with impaired control, social impairment, risky use, and pharmacological criteria. E. Use of the substance to produce relaxation and reduce inhibition.

B. The development of tolerance to the effects of and withdraw from the substance. C. Continued risky use despite consequences to physical and psychological health. D. Issues with impaired control, social impairment, risky use, and pharmacological criteria.

A client who is a smoker says, "Smoking relaxes me. It is not harmful." Which nursing intervention is the priority for this client? A. Teaching about substitution therapy B. Including significant others in teaching C. Assessing the client's level of knowledge D. Providing information about physical effects of smoking on the body

C. Assessing the client's level of knowledge

A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Which of the following information should the nurse include in the teaching? A. Chew the gum for no more than 10 min. B. Rinse out the mouth immediately before chewing the gum. C. Avoid eating 15 min prior to chewing the gum. D. Use of the gum is limited to 90 days.

C. Avoid eating 15 min prior to chewing the gum.

A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should expect prescriptions for which of the following medications to promote long‐term abstinence from alcohol? (Select all that apply.) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate

C. Disulfiram D. Naltrexone E. Acamprosate

Following the withdrawal from a hallucinogen, a client says, "I feel like I am still on the drug." The client is likely experiencing which condition? A. Paranoia B. Euphoria C. Flashback D. Panic reaction

C. Flashback

A client is admitted for alcohol detoxification. During detoxification, which symptoms should the nurse expect to assess? A. Disorientation, peripheral neuropathy, and hypotension. B. Oculogyric crisis, amnesia, ataxia, and hypertension. C. Gross tremors, delirium, hyperactivity, and hypertension. D. Hallucinations, fine tremors, confabulation, and orthostatic hypotension.

C. Gross tremors, delirium, hyperactivity, and hypertension.

Upon admission for symptoms of alcohol withdrawal, a client states, "I haven't eaten in 3 days." Assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97∘F (36∘C) with dry skin, dry mucous membranes, and poor skin turgor. What should be the priority nursing diagnosis? A. Ineffective individual coping. B. Fluid volume excess. C. Imbalanced nutrition: less than body requirements. D. Knowledge deficit.

C. Imbalanced nutrition: less than body requirements.

A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority? A. Orient the client frequently to time, place, and person. B. Offer fluids and nourishing diet as tolerated. C. Implement seizure precautions. D. Encourage participation in group therapy sessions.

C. Implement seizure precautions.

A nurse is planning a staff education program on substance use in older adults. Which of the following information should the nurse to include in the presentation? A. Older adults require higher doses of a substance to achieve a desired effect. B. Older adults commonly use rationalization to cope with a substance use disorder. C. Older adults are at an increased risk for substance use following retirement. D. Older adults develop substance use to mask manifestations of dementia.

C. Older adults are at an increased risk for substance use following retirement.

You suspect a newborn has fetal alcohol syndrome, but the mother has denied alcohol use during pregnancy. What should the nurse assess for in the newborn? Select all that apply. A. Larger head circumference B. Thick upper lip C. Short nose D. Small midface E. Low nasal bridge

C. Short nose D. Small midface E. Low nasal bridge

Which action is most attributable to caffeine? A. Stimulation of norepinephrine release B. Stimulation of ganglionic synapses C. Stimulation of cellular metabolism D. Stimulation of nerve impulse transmission at cholinergic synapses

C. Stimulation of cellular metabolism

Which of the following nursing implications arises from the fact that the majority of individuals with a substance use disorder have a dual diagnosis of mental illness? A. The nurse will address the psychiatric diagnosis first as it preceded the development of the substance use disorder. B. The nurse will ensure that any psychiatric diagnoses are identified and resolved before substance use disorder treatment. C. The nurse will approach the patient from an integrated health-care model and tailor the care plan to address both the psychiatric and substance use diagnoses. D. The nurse knows that a substance use disorder will always exacerbate a psychiatric diagnosis, so it must be treated first.

C. The nurse will approach the patient from an integrated health-care model and tailor the care plan to address both the psychiatric and substance use diagnoses.

The most effective nursing approach to deal with denial in a client who abuses substances is: A. confronting the client regarding his or her hopeless life situation. B. discussing the addictive personality. C. having the client identify the effects of substance use on his or her life. D. describing the physiologic effects of substances on the body.

C. having the client identify the effects of substance use on his or her life.

A client who uses drugs says, "I am not a drug addict. I can stop any time I want." Which nursing intervention would the nurse most likely apply in this client? A. Identifying recent maladaptive behaviors B. Conveying an attitude of acceptance to the client C. Developing a trusting relationship with the client D. Correcting misconceptions about substance abuse

D. Correcting misconceptions about substance abuse

Opioids and large doses of anxiolytics tend to have the same effects on the body. Which one(s) do they have in common? Select all that apply. A. Euphoria B. Mood changes C. Hypertension D. Drowsiness E. Respiratory depression

D. Drowsiness E. Respiratory depression

A client recently discharged from an alcohol rehabilitation program is brought to the hospital in a state of prostration with severe throbbing headache, tachycardia, a beet-red face, dyspnea, and continuous vomiting. The client's significant other states the client got sick about 15 minutes after drinking a glass of wine. The nurse should be guided in assessment by the suspicion that the client: A. Is exhibiting symptoms of cross dependence. B. Is having a stroke. C. Has alcohol intoxication. D. Is reacting to disulfiram (Antabuse).

D. Is reacting to disulfiram (Antabuse).

Which of the following nursing assessment findings are consistent with alcohol withdrawal? A. Patient is diaphoretic, constipated, cannot eat his lunch, p = 70, BP = 140/85, T = 101°F B. Patient is agitated and tremulous, p = 100, BP = 110/70, T = 101°F C. Patient is disoriented when awake, sleeping on and off throughout the shift, skin cool and dry, T = 98.4°F D. Patient is vomiting, tremulous, having difficulty sleeping, p = 100, BP = 160/95, T = 99°F

D. Patient is vomiting, tremulous, having difficulty sleeping, p = 100, BP = 160/95, T = 99°F

A patient is admitted to the medical unit after experiencing chest pain. Which of these additional findings would support a diagnosis of cocaine abuse? A. Jaundice B. Profuse diarrhea C. Hypotension D. Perforated nasal septum

D. Perforated nasal septum

A parent has consulted the school nurse because she is concerned about her 16-year-old son and the possibility of drug abuse. What indication of substance abuse in adolescents should the nurse plan to teach the mother? A. Improved academic performance. B. Introducing new friends to family. C. Headaches D. Unexplained moodiness.

D. Unexplained moodiness.

A nurse is caring for a client who has cocaine use disorder and is experiencing severe effects of intoxication. Identify three expected findings.

Objective: - Seizures - Extreme fever - Tachycardia - Hypertension Subjective: - Hallucinations - Chest pain

Which of the following has been implicated in the predisposition to substance abuse? a)Hereditary factor b)Fixation in the adolescent stage of psychosexual development c)Punitive ego d)Narcissistic and dependent personality traits

a)Hereditary factor

A client is brought to the emergency department unconscious by a friend who says he was injecting heroin. The client is assessed to have a weak pulse. Which of these interventions are priorities? a. Administer naloxone and rescue breathing. b. IV benzodiazepines and continuous monitoring of vital signs. c. Ask the friend how much heroin he took and confirm with a laboratory drug screen. d. Initiate cardiopulmonary resuscitation and prepare to use an external defibrillator.

a. Administer naloxone and rescue breathing.

A client who has been admitted to the chemical dependence treatment unit after being discliplined for drinking on the job states to the nurse, "I don't have a problem with alcohol. I can handle my booze better than anyone I know." Which defense mechanism is the client using? a. Denial b. Projection c. Displacement d. Rationalization

a. Denial

A client is admitted to the hospital after an extended period of binge alcohol drinking. His wife reports that he has been a heavy drinker for several years. Laboratory reports reveal he has a blood alcohol level of 250 mg/dL. He is placed on the chemical addiction unit for detoxification. When would the first signs of alcohol withdrawal symptoms be expected to occur? a. Several hours after the last drink b. 2 to 3 days after the last drink c. 4 to 5 days after the last drink d. 6 to 7 days after the last drink

a. Several hours after the last drink

A client admitted to the emergency department smells strongly of alcohol, and his wife reports he has been a heavy drinker for the last 25 years. After the nurse completes an assessment, the physician asks if there are any physical signs of long-term chronic alcohol abuse. Which of these findings should the nurse include in reporting to the physician? (Select all that apply.) a. The client reports weak leg muscles, and his gait is unsteady. b. The client's abdomen is distended. c. The client reports he was coughing up some blood. d. The client reports he has double vision. e. Blood tests reveal a low white blood cell count.

a. The client reports weak leg muscles, and his gait is unsteady. b. The client's abdomen is distended. c. The client reports he was coughing up some blood. d. The client reports he has double vision. e. Blood tests reveal a low white blood cell count.

A client who has been admitted to the alcohol rehabilitation unit after being fired for drinking on the job states to the nurse, "I don't have a problem with alcohol. My boss is a jerk! I haven't missed any more days than my coworkers." What is the nurse's best response? a. "Maybe your boss is mistaken, Dan." b. "You are here because your drinking was interfering with your work." c. "Get real! You're an alcoholic and you know it!" d. "Why do you think your boss is a jerk?"

b. "You are here because your drinking was interfering with your work."

A client diagnosed with chronic alcoholism says to the nurse, "I'm tired of using and I want to stop. Is there a medication that can help me maintain sobriety?" About which medication would the nurse provide information? a)Carbamazepine (Tegretol) b)Clonidine (Catapres) c)Disulfiram (Antabuse) d)Folic acid (Folvite)

c)Disulfiram (Antabuse)

A client comes into the emergency department stating that he is "crashing" and feels like he'd "be better off dead." Which of these nursing interventions is a priority? a. Instruct the client not to worry; these are temporary signs of withdrawal and should go away in a few days. b. Request an order for amphetamines to ease the client's withdrawal symptoms. c. Assess the client's risk for suicide. d. Instruct the physician that the client may need naloxone.

c. Assess the client's risk for suicide.

A client who has been admitted to intensive outpatient treatment for substance use disorder arrives for group therapy and appears groggy with constricted pupils. The client denies using substances. Which of the following would be the best intervention at this time? a. Ask the client to empty his pockets. b. Smell his breath for evidence of alcohol. c. Conduct a drug screen to assess for presence of opioids. d. Discharge the client for failure to comply with treatment expectations.

c. Conduct a drug screen to assess for presence of opioids.

Symptoms of alcohol withdrawal include: a. Euphoria, hyperactivity, and insomnia. b. Depression, suicidal ideation, and hypersomnia. c. Diaphoresis, nausea and vomiting, and tremors. d. Unsteady gait, nystagmus, and profound disorientation.

c. Diaphoresis, nausea and vomiting, and tremors.

A client is brought to the emergency department. The client is aggressive, has slurred speech, and impaired motor coordination. Blood alcohol level is 347 mg/dL. Among the physician's orders is thiamine. Which is the rationale for this intervention? a)To prevent nutritional deficits b)To prevent pancreatitis c)To prevent alcoholic hepatitis d)To prevent Wernicke's encephalopathy

d)To prevent Wernicke's encephalopathy