Addiction Questions

Which strategy would be effective for a client with alcohol use disorder who says, "Drinking is a way out of my depression"?

A self-help group

Which action would the nurse take for a person hospitalized for alcoholism who becomes boisterous, belligerent, and loud?

Administer the alcohol withdrawal medication

The nurse reviews the plan of care for a patient experiencing alcohol withdrawal syndrome and expects that which interventions will be included? SATA

Administer thiamine Administer benzodiazepines Prepare suction equipment and a bag valve mask (BVM)

A client who is addicted to opioids undergoes emergency surgery. During the postoperative period, the health care provider decreases the previously prescribed methadone dosage. For which clinical manifestations will the nurse monitor the client?

Agitation and attempts to escape from the hospital

Which assessment findings are associated with Wernicke encephalopathy? SATA

Altered gait Confusion Ocular motility abnormalities

Which basic principle of Alcoholics Anonymous (AA) would be a guideline for a client with alcohol use disorder to follow?

Amends must be made to each person who has been harmed

Which medication does the nurse recall that helps prevent seizures and delirium in a patient who is experiencing alcohol withdrawal?

Lorazepam

Which findings does the nurse expect to observe in a patient that has experienced an overdose of a depressant? SATA

Nystagmus Slurred speech Shallow respirations

The nurse observes an elevated level of amphetamine in the laboratory findings of a patient. Which health problems would the nurse monitor for in this patient? SATA

Psychosis Cardiac dysrhythmia Myocardial ischemia

Which characteristics would the nurse anticipate in the infant of a suspected of known opioid abuser? SATA

Tremors Hyperactivity

Which patient behavior indicates that substance misuse relapse has occurred?

the patient returns to substance use after a period of abstinence

Which of these questions is included on the CAGE screening test for alcoholism?

"Have you ever felt bad or guilty about your drinking"?

Which action would be required of the client with alcohol use disorder who attends Alcohol Anonymous (AA) meetings?

Acknowledging an inability to control the alcoholism

Which strategy would the nurse recommend that is most effective for a client who has decided to stay sober after completing alcohol detoxification and rehabilitation treatment?

Active membership in Alcoholics Anonymous

Which intervention would the nurse use to promote safety of a client experiencing alcohol withdrawal?

Administer chlordiazepoxide

A patient has been admitted with a diagnosis of cocaine poisoning. Which interventions does the nurse expect the patient's plan of care will include? SATA

Administer diazepam Perform a gastric lab age Administer antipsychotic drugs

Within a few hours of alcohol withdrawal, the nurse would assess the client for the presence of which clinical manifestations? SATA

Agitation Tremulousness

Which substance is considered addictive in the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5)? SATA

Alcohol Caffeine Cannabis Gambling Hallucinogens Anti anxiety medications

Which characteristics are observed in clients who have cocaine addiction? SATA

Anxiety Palpitations Weight loss

Which signs and symptoms would the nurse observe in a client experiencing alcohol withdrawal? SATA

Anxiety Diaphoresis Psychomotor agitation

Which response would the nurse use when a client is observed hiding a bottle of whiskey in the back of a drawer?

Ask the client how much alcohol she or he consumes in a week

Which behavior best indicates that the client has accepted that her or his drinking is a problem?

Attends Alcoholics Anonymous (AA) meetings daily

Which B vitamin deficiency will result in Wernicke encephalopathy?

B1 (thiamine)

A patient with pinpoint pupils, shallow respiration's, involuntary eye movements, and BP of 90/70 mm Hg is administered flumazenil. The nurse suspects that the patient is abusing which substance?

Benzodiazepine

A client is diagnosed with acute gastritis secondary to alcoholism and cirrhosis. The client reports frequent nausea, pain that increases after meals, and black, tarry stools. The client recently joined Alcoholics Anonymous. The nurse would give priority to which client history item?

Black, tarry stools

Which effect of cocaine contributes to substance dependence?

Blurs reality of problems

A hospitalized patient with a history of heroin use is being treated with methadone medication. The nurse identifies that which other low-dose medication may be prescribed when the patient is discharged?

Buprenorphine

The nurse recognizes that a patient who regularly snorts cocaine is at risk for which complication?

Chronic sinusitis

According to Alcoholics Anonymous, which member of the health care team has the primary responsibility for the success of the therapy and rehabilitation?

Client

Which benefit is offered by a self-help group such as Alcoholics Anonymous (AA)?

Clients learn that their problems are not unique

A client with an opioid addiction has been taking 40 mg/day of methadone. She is now in the prenatal clinic and is 3 months pregnant. Which plan of care would the prenatal nurse anticipate?

Continue the prescribed methadone to prevent withdrawal symptoms

Using the Alcohol Use Disorders Identification Test (AUDIT), which client requires the highest priority for treatment?

D -a score of 3 for all questions in the AUDIT report indicates severe alcohol abuse, and client D has the highest priority for treatment

A client who is obese and has a history of alcohol abuse is admitted to the hospital with a diagnosis of acute pancreatitis. Which is an appropriate initial client treatment goal?

Decreased pain

The nurse reviews the medical record of a patient who chronically misuses alcohol and expects which laboratory results associated with the patient's diagnosis of Wernicke-Korsakoff syndrome?

Decreased thiamine level

The nurse recalls that which cardiovascular effects are observed during cocaine toxicity? SATA

Dysrhythmias Hypertension Myocardial ischemia

A nursing instructor asks a student about the health risks faced by adolescents. Which statements by the student indicate inadequate learning? SATA

Eating disorders are more common in teen boys than girls The incidence of substance abuse among adolescents in high school is low

Which signs indicate cocaine intoxication? SATA

Euphoria Agitation Hypervigilance Impaired judgement

When interviewing and assessing a 17-year-old client, which findings alert the nurse to explore substance abuse with the adolescent? SATA

Failing grades Blood spots on clothing Absenteeism from school Long-sleeved shirts in warm weather

Which life-threatening complication may occur in clients taking high-dose or long-term ibuprofen?

Gastrointestinal (GI) bleeding

A patient is withdrawing from a central nervous system (CNS) depressant. The nurse expects which symptoms? SATA

Insomnia Disorientation Orthostatic hypotension

A client with a history of alcoholism develops Wernicke encephalopathy associated with Korsakoff syndrome. Which medication therapy is indicated for management of this condition?

Intramuscular injections of thiamine

A health care provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches the client that disulfiram will have which action?

It causes a severe adverse reaction if alcohol is consumed

The nurse is caring for a patient with a three-year history of misuse of morphine who is experiencing withdrawal symptoms. Which medications are appropriate for inclusion in the patient's plan for treatment? SATA

Loperamide Acetaminophen

Which drug is prescribed to stabilize vital sings and prevent seizures and delirium ina patient withdrawing from alcohol?

Lorazepam

The nurse is assessing a client with a history of marijuana use. Which long-term effects are associated with marijuana? SATA

Lung cancer Emphysema Heart disease

Which medication would be administered to prevent symptoms of withdrawal in a laboring client who is routinely using heroin?

Methadone

A patient experiences symptoms of fentanyl withdrawal. The nurse identifies that which medications are appropriate for inclusion in the patient's treatment plan? SATA

Methadone Clonidine Ondansetron Acetaminophen

A patient is admitted to the emergency department with apparent opioid overdose. Which medication will the nurse prepare to administer?

Naloxone

Thiamine (vitamin B1) and niacin (vitamin B3) are prescribed for a client with alcoholism. Which body function maintained by these vitamins will the nurse monitor?

Neuronal activity

An overdose of which substance causes pinpoint pupils, nystagmus, and hypotension?

Opioid

Which physiologic effects are likely to be observed in a patient after methamphetamine abuse? SATA

Palpitations Sleeplessness Increased temperature

After a participant in a smoking cessation program tells the nurse, "I know I can stop smoking for good," which documentation by the nurse is accurate?

Patient statement about tobacco use demonstrates self-efficacy

Which rationale best explains how an addiction to alcohol occurs?

Person eventually requires alcohol for functioning

The nurse observes track marks on a patient hospitalized for drug overdose. Which health problems are related to injectable drugs? SATA

Phlebitis HIV/AIDS Hepatitis B and C

The nurse is assessing a patient who has been admitted to the hospital for opium toxicity. The nurse expects to find which pupillary abnormality?

Pinpoint pupils

When the nurse tries to discuss risks of cigarette smoking with a patient who says, "My friends all smoke and I like to smoke," which stage of the model is the patient exhibiting?

Precontemplation

Which priority concern would the nurse monitor while working with client withdrawing from cocaine?

Risk for self injury

Which signs and symptoms support the conclusion that the client has been abusing high-dose cocaine for a prolonged time? SATA

Sadness Psychomotor retardation

Which clinical manifestations does the nurse expect when assessing a patient who chronically abuses alcohol? SATA

Steatosis Gastritis Cirrhosis

A client who is addicted to heroin has major surgery. Afterward, the client receives methadone. Which purpose does the methadone serve?

Switches the user from illicit opioid use to use of a legal drug

In which time interval do the most serious life-threatening effects of alcohol withdrawal occur?

24 to 72 hours

Which information would the nurse include as the main reason for drinking alcohol in people with alcohol use disorder?

They are dependent on it

A patient who reports using an illicit drug states, "Compared to the past, it seems like I need a larger dose to get the same effect." How will the nurse document that patient's usage?

Tolerance

For a postsurgical client, which data suggest acute alcohol withdrawal? SATA

Tremors in both hands make it difficult for the client to hold a cup The client's bed linens and pajamas had to be changed during the night because of diaphoresis The client who has been cooperative becomes verbally abusive and irritable

Which characteristics is associated with an addictive personality?

Unable to delay gratification

A patient with a history of abuse of a depressant experiences severe symptoms of withdrawal. The patient reports that the last methaqualone dose was taken 12 hours prior to admission. Which are the priority nursing assessments? SATA

Vital signs Neurological status

A patient is admitted to the health care facility for treatment of cocaine withdrawal. The nurse observes the patient for which manifestations of withdrawal? SATA

Vivid dreams Disturbed sleep

A patient admitted to the emergency department with shallow respirations and hypotension. The patient's caregiver states, "Approximately 30 minutes ago, I inadvertently gave the patient too much of a prescribed barbiturate." Which substance does the nurse anticipate will be included in the patient's treatment plan?

activated charcoal

Which information in the health history indicates that a patient has a complete carcinogen risk factor for the development of cancer?

cigarette smoking

A patient who has a history of opioid abuse has been admitted following an appendectomy. The health care provider prescribed a narcotic analgesic for pain. Which action would the nurse take?

conduct an assessment and manage the patient's reported pain

Which psychologic or physiologic effects does the nurse anticipate in a patient addicted to opioids? SATA

euphoria drowsiness mood changes

After collecting data from a patient, the nurse determines that the patient is experiencing the effects of crack cocaine withdrawals. Which set of clinical manifestations supports the nurse's conclusion?

general aching, vivid dreams, mood swings, and increased appetite

A patient with human immunodeficiency virus (HIV) infection reports a history of injecting addictive drugs. The nurse recognizes that the patient is susceptible to which other conditions? SATA

hepatitis B hepatitis C phlebitis

A patient is addicted to an illicit drug for physical and emotional pain. The nurse finds that the patient has associated lethargy, stupor, and slurred speech. Which illicit drug is the patient taking?

heroin

Which rationale would explain the reason a client abuses alcohol?

To blunt reality

Which criteria are used to identify substance use disorder (SUD)? SATA

Craving the substance Recurrent use in hazardous situations Missing school, work, or other responsibilities due to use Giving up or reducing important activities because of use

For a client who has an addiction problem, which client communication shows progress in the working stage of the nurse-client relationship? SATA

Identifies personal strengths and weaknesses Acknowledges the effects of the addiction on the family Addresses how the addiction has contributed to family distress

The nurse recognizes that a patient who experiences an overdose of methamphetamine is prone to seizure activity. The nurse anticipates that which first-line treatments will be prescribed to prevent seizures? SATA

Diazepam Lorazepam

The nurse suspects that a patient is experiencing alcohol withdrawal delirium based on which assessment findings? SATA

Disorientation Visual hallucinations Seizures

The nurse provides care for a client with a long history of alcohol abuse. Which medication would the nurse anticipate will be prescribed for the client to prevent symptoms of withdrawal?

Lorazepam

A 45-year-old client who recently completed alcohol detoxification reports plan to begin using disulfirams as part of the alcoholism treatment regimen. Which client teaching would the nurse share regarding this medication?

Foods, medications, and any topical preparation on containing alcohol should be avoided

Which rationale is the major reason that Narcotics Anonymous (NA) is helpful in treating addictive behavior?

Group members are supportive of one another's problem

Methadone is useful in the treatment of opioid addiction because it has which characteristic?

Has an effect of longer duration

Which action would the nurse take first when a client asks for help with a drinking problem?

Have the client call Alcoholics Anonymous to find the schedule of local meetings

The nurse reviews the medical record of a patient who is hospitalized with hepatic failure and notes a 25-year history of alcohol consumption. The nurse assesses the patient for which other health problems associated with alcoholism? SATA

Hepatic encephalopathy (HE) Esophageal varices Wernicke-Korsakoff syndrome

When caring for a patient with acute intoxication and a history of chronic alcoholism, the nurse anticipates a prescription for which drug?

IV thiamine

A patient is admitted to the emergency department with a suspected history of cocaine use. The nurse expects to find which physiologic changes? SATA

Increased heart rate Increased BP

While assessing an older adult client before noon, the nurse smells alcohol on the clients breath. Which additional signs and symptoms would the nurse then monitor for? SATA

Irritability Poor hygiene Family conflict Excessive mood swings

A patient is hospitalized following a motor vehicle accident and exhibits of alcohol withdrawal delirium. Which assessment findings does the nurse identify as signs of the condition? SATA

Seizures Disorientation Visual hallucinations

The nurse expects which prescriptions for a patient who is withdrawing from alcohol and demonstrating central nervous system (CNS) manifestations?

Thiamine

For which purpose would the family member of a patient with a heroin addiction be taught how to use Evzio (naloxone)?

To reverse the effects of opioids in the event of an overdose

A client with a known history of opioid addiction has a surgical repair of multiple stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed morphine injections. The nurse realizes that the failure to achieve pain relief indicates that the client is probably experiencing which phenomenon?

Tolerance

The nurse is creating a dietary plan for a patient who chronically misuses alcohol and who is diagnosed with Wernicke-Korsakoff syndrome. The nurse includes food items rich in Vitamin B1 based on which understanding?

Wernicke-Korsakoff syndrome is caused by a deficiency of thiamine

A patient reports muscle aches and an inability to sleep. Assessment findings include watery eyes, diaphoresis, and a temperature of 101 F. The nurse suspects that the patient is experiencing withdrawal from which substance?

heroin

The nurse suspects that a patient is experiencing symptoms associated with cannabis withdrawal based on which assessment findings? SATA

irritability mild agitation

Which medication does the nurse anticipate will be prescribed for a hospitalized patient with opioid overdose who experiences severe diarrhea?

loperamide

The nurse anticipates which health problems in a patient who snorts drugs? SATA

nasal sores septal necrosis septal perforation

A patients assessment findings include constricted pupils, constipation, decreased respiratory rate, and detachment from the environment. The health care provider has prescribed methadone in a low dose. Which class of commonly used addictive substances does the nurse suspect that the patient has used?

opioids

The nurse reviews a patient's medical record and notes a plan for long-acting benzodiazepine therapy, which is prescribed for withdrawal from which substance?

sedative hypnotics

The nurse manager suspects that a staff nurse has a problem with substance abuse. Which manifestations might the manager notice? SATA

the nurse is often late for work the nurse appears fatigued and uses mouthwash frequently during work hours other staff members report that the nurse has frequent mood changes

Which principle would the nurse incorporate in planning care for a patient with a history of opioid abuse who has a fractured femur?

the opioid should be given at higher dosages than in drug-naive patients