Substance Abuse Chapter 95
A nurse is caring for a client who is a methamphetamine abuser. The nurse observes rapid eye movements and jerky body movements in the client. How should the nurse document this condition of the client?
Tweaking
The nurse is caring for a client who has overdosed using cocaine. Which of the following symptoms should the nurse monitor for this client? Select all that apply.
Hemorrhage, Seizures, and Abnormal Respirations
The nurse is caring for recovering alcoholics in a treatment center. Which of the following nursing diagnoses would be considered highest priority?
High Risk for Violence: Self-Directed or Directed at Others
The nurse is counseling a client who is in the intermediate stage of being addicted to cocaine. Which of the following would be a typical response to the question, "Why do you use cocaine?"
"I use it to keep from feeling bad."
The nurse is caring for a client who is experiencing acute tremulousness caused by alcohol withdrawal. Which of the following would be the drug of choice for this condition?
10 to 30 mg oxazepam (Serax)
The nurse is caring for a client in the emergency department who was using alcohol and does not appear intoxicated. What breathalyzer test result would indicate that this person has alcohol dependence?
0.09 g/dL
A nurse is caring for a 30-year-old client who has been involved in a drunken driving accident. Which of the following is the permitted maximum legal level of blood alcohol content when driving?
0.1 g/dL
The nurse is caring for a client who is taking disulfiram (Antabuse) as aversion therapy to maintain sobriety. What is the correct dosage for this medication?
500 mg/day for 2 weeks, followed by a daily maintenance dose of 250 mg
The nurse should be alert for signs and symptoms of CD or withdrawal in all clients. Which of the following is a characteristic of a chemically dependent person?
Abusers of one drug may have built up tolerance to related drugs.
The nurse is working with a healthcare team to treat clients with substance abuse. Which of the following accurately describes a step in the management of this condition?
Active interventions must occur; if no one intervenes, the addiction usually continues.
An alcoholic client has been consuming excessive amounts of cola and chocolate. The healthcare provider advises against disproportionate use of over-the-counter preparations containing caffeine. What should the nurse tell the client about the effect of caffeine in the body?
Adds to the depressive effect of alcohol
The nurse is caring for a client undergoing stage 3 of the alcohol withdrawal process. The client complains of "bugs crawling all over my skin." This is a manifestation of what withdrawal symptom?
Alcohol hallucinosis
A nurse is gathering data from a client suspected to be an alcohol abuser. Which of the following questions are very important in terms of predicting withdrawal?
Ask the time when the client had a last drink.
A nurse caring for a client who is undergoing withdrawal from alcohol and is severely malnourished is careful to prevent refeeding syndrome. Which of the following nutrients cause this condition when introduced into the starving person's system too quickly
Carbohydrates
The school nurse is teaching adolescents about the danger of chemical dependency. Which of the following would the nurse use as a teaching point?
Chemical dependency can lead to various mental disorders.
Many substance abusers use defense mechanisms to cope with their stress. Which of the following are most pertinent to substance abuse? Select all that apply.
Denial, Rationalization, and Projection
A nurse at the detoxification center is assigned to identify and prepare a data record of a client with a history of alcohol abuse. Which of the following evaluation tools is specific to alcohol abuse identification?
Diagnostic Interview Schedule
The nurse is counseling the "enabler" spouse of an alcoholic. Which of the following is a nursing consideration for this client?
Enablers must understand that alcoholics have a bad disease but are not bad people.
The nurse is caring for an alcoholic admitted to the hospital who is in unmanaged withdrawal. Which of the following is a nursing consideration for this client?
Follow suicide precautions because suicide risk increases during detoxification.
A nurse is caring for a client with Wernicke-Korsakoff syndrome. The nurse observes rapid eyeball movement from side to side. What term should the nurse use to document rapid eyeball movement from side to side in the client?
Horizontal nystagmus
The nurse is caring for a client who is withdrawing from amphetamines. Which of the following is the important initial nursing intervention for this client?
Liver functions test
A nurse is caring for a client suspected of mescaline abuse at the detoxification center. Which of the following symptoms may confirm the abuse of mescaline?
Macropsia
A heroin-dependant client is undergoing a methadone maintenance program. What interventions should the nurse perform when caring for this client?
Mix the powder with 120 mL of orange juice.
A nurse is caring for an intoxicated alcoholic client admitted to the emergency department. Which of the following interventions is most important when caring for the client?
Monitor the level of consciousness of the client.
A 45-year-old male client who is addicted to barbiturates reduces his intake of the drug. For which of the following conditions is the client at risk?
Overdose
A nurse at the detoxification center is caring for a severely malnourished client with a history of chronic alcohol abuse. Which of the following nursing care measures should be employed when caring for the client during the time of withdrawal?
Position the client on the side if the client has vomiting or nausea.
The nurse counseling clients with chemical abuse discusses the warning signs with their families. Which of the following is a sign of chemical abuse?
Recurrent use-related legal problems
The emergency department nurse is caring for an intoxicated alcoholic client who needs stitches following a motor vehicle accident. Which of the following is an appropriate nursing intervention for this client?
Remember that an injury can precipitate withdrawal symptoms.
The nurse is caring for a client who is undergoing unmanaged alcohol withdrawal. Which of the following is a sign or symptom of the autonomic hyperactivity stage of this process?
Tremors
The nurse is assisting the healthcare team to provide dialectical behavioral therapy for a client who is an alcoholic. Which of the following is the focus of this type of therapy?
The "wise mind", a midway point between being totally rational and totally emotional.
The nurse is caring for a 35-year-old woman who has built up alcohol tolerance. Which of the following is a nursing consideration appropriate for this client?
The use of aspirin enhances the absorption of alcohol.
