Lagniappe I
The nurse assessing the newborn shortly after delivery notes that the infant is very jittery, irritable, and has a high- pitched cry. The nurse suspects that the mother took which substance during pregnancy?
Cocaine
The nurse hears in report that the patient is receiving thiamine for Wernicke encephalopathy. Which assessment finding indicates the thiamine is effective?
Memory and muscle coordination show improvement
Marijuana can be detected in the body, after use, for what amount of time?
30 days
The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states?
0.08%
When comparing therapeutic communication versus social communication, the professional nurse realizes that therapeutic communication:
Is goal-directed and patient centered
You are working in an adolescent care center and you are caring for adolescents. You have learned what age of onset of alcohol consumption is most predictive of alcohol addiction?
14 or younger
What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?
Swaddle the baby closely
What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy?
Provide the patient with a pacifier
What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?
Nausea
A patient is admitted to the hospital with alcohol withdrawal. Which of the following meds will the nurse expect the physician to order during the acute phase of detox to prevent seizures and provide sedation?
Lorazepam
This category of drugs causes a powerful release of dopamine. Over time, dopamine depletion in the brain results in parkinsonian-like symptoms.This category is?
Amphetamines
A patient comes into the walk-in clinic for a prescription refill. She admits to recently taking a hit of "Molly". What assessment findings would the nurse expect?
Blurred vision and faintness
A 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson disease. The nurse should suspect an overdose of what drug?
Amphetamines
What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system?
Alcohol is metabolized into ethanol rapidly
What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel “normal” without it?
Middle
Infective endocarditis is more likely to occur with which route of substance abuse?
Injecting drugs
During opioid withdrawal, the patient will begin to exhibit symptoms within ____ hours of their last dose.
6 hours
What is the greatest problem with lysergic acid diethylamide (LSD) use?
The drug causes the risk of flashbacks with lingering mental disorder such as impaired mental function
A pregnant adolescent tells the nurse that she “only drinks a little.” The nurse educates the patient that how many drinks per day can cause an adverse effect in an infant?
Two drinks a day
A patient has been identified as being in the late stage of chemical dependence. What must a patient in the late stages of dependence do in order to recover?
Receive treatment for substance abuse
A patient has come to the Urgent Care where you work. He is complaining of flu-like symptoms including body aches, watery eyes, runny nose, dialted pupils, diarrhea, diaphoresis and chills. You notice that the patient has track lines on the inside of their arms. You are now suspicious that the patient has been using illegal drugs.You suspect the patient has been abusing?
Morphine
Heroin
The patient is initiating smoking cessation. Which symptom is associated with withdrawal from nicotine
Decreased heart rate
A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?
6 to 12 hours
Which person is most likely to develop alcohol dependency?
14 year old Native American male who drinks and whose father is an alcoholic
A patient was found unconscious in his apartment with four empty bottles of whiskey and was brought to the ER by his family. Upon admission, he moans out loud and is having dry heaves and diarrhea. What is the best way to maintain his airway.
Place the patient in the side-lying position until the swallowing reflex is intact