The Point Ch. 31 NCLEX

A client who has been abusing opioids for about 1 year has run out of the drug. the last time he used the drug was at 12 noon. the client would most likely develop signs and symptoms of withdrawal by which time?

9 pm

Which of the following are effects of alcohol withdrawal syndrome? select all that apply.

Tremors. Seizures. Increased temp. Delirium tremens.

Disulfiram (antabuse) should not be administered until the client has abstained from alcohol for at least how long?

12 hours

In a person who abuses alcohol or is a chronic drinker, the alcohol withdrawal syndrome usually begins within which time frame from abrupt discontinuation or attempt to decrease consumption?

12 hours

the body can metabolize how much beer per hour without intoxication

12oz

a client with alcohol abuse is to receive disulfiram. the client's last drink was at 4pm. the client should receive the medication no earlier than at which time?

4 am

Which of the following are hematologic complications associated with alcohol abuse? select all that apply

Anemia. Leukemia. Hematomas.

A client is brought to the ED by a friend who tells the staff that he thinks his friend OD'd on cocaine. Which findings would help support this suspicion? select all that apply

Chest pain. seizures. respiratory depression. cardiac arrhythmia.

A client is dx with Korsakoff's amnestic syndrome. which of the following would the nurse most likely assess? select all that apply

Confabulation. Attention deficit. vision impairment.

which of the following is an example of a benzodiazepine?

Diazepam (valium)

the nurse is caring for a client who uses PCP. PCP is classified as which typr of substance?

Hallucinogen

a client is brought to the ED following a car accident. the clients BAL was 0.10%. which of the following would the client likely exhibit?

Impaired coordination

A client has a blood alcohol level of 0.05%. the nurse would expect which behavior to occur?

Impaired judgement

Disulfiram (antabuse) has which of the following effect on prothrombin time?

Increase

a client is experiencing severe alcohol withdrawal. which of the following would the nurse most likely assess? select all that apply.

Marked diaphoresis. Auditory hallucinations.

After teaching a group of students about the different approaches used to tx chemical dependence, the instructor determines that the education was successful when the group identifies which of the following ass associated with the social approach?

The environment, not the person, is responsible.

A client is prescribed naltrexone as part of the tx plan for alcohol and opioid abuse. when developing an education plan for the client about this drug, which of the following would the nurse need to keep in mind?

The individual should be free of opioids for at least 1 week

When a person can ingest an increasing amount of alcohol before experiencing a "high" and showing effects on cognitive and motor skills, it is termed which of the following?

Tolerance

Wernicke's encephalopathy is a degenerative brain disorder characterized by which type of deficiency?

Vitamin B1

which of the following is the most abused substance in the US?

alcohol