Alcohol
An intoxicated client is admitted to the hospital for alcohol withdrawal. What should the nurse do to help the client become sober?
A. Give the client black coffee to drink
B. Walk the client around the unit.
C. have the client take a cold shower.
D. Provide the client with a quiet room to sleep in.
D. provide the client with a quiet room to sleep in.
The nurse is providing care for a client undergoing opiate withdrawal. Opiate withdrawal causes severe physical discomfort and can be life-threatening. To minimize these effects, opiate users are commonly detoxified with:
A. barbiturates.
B. amphetamines.
C. methadone.
D. benzodiazepines.
C. methadone
A nurse is caring for a client who has tested positive for amphetamines and is experiencing paranoia. The client has a history of physical violence. Which intervention should the nurse implement at this time to prevent the client from becoming violent?
A. Administer prescribed PRN lorazepam and apply soft wrist restraints.
B. Explain all activities of care clearly and calmly while facing the client.
C. Place the client in the room that is closest to the nurse's station.
D. Request security personnel to be present to protects patients and staff.
B. Explain all activities of care clearly and calmly while facing the client.
For the client who has difficulty falling asleep at night because of withdrawal symptoms from alcohol, which are abating, which nursing intervention is likely to be MOST effective?
A. inviting the client to play a board game with the nurse.
B. Allowing the client to sit in the community room until the client feels sleepy.
C. Advising the client to take multiple short naps during the day until symptoms improve.
D. teaching the client relaxation exercises to use before bedtime.
D. Teaching the client relaxation exercises to use before bedtime.
A client who is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mm Hg and pulse is 92 bpm. Which medication should the nurse expect to administer?
A. haloperidol
B. lorazepam
C. benztropine
D. naloxone
B. Lorazepam
Which food should the nurse eliminate from the diet of a client in alcohol withdrawal?
A. milk
B. regular coffee
c. orange juice
d. eggs
B. regular coffee
An eighth-grader is brought to the emergency department by a parent for unusual skin blistering and discoloration around the nose and lips. The parent states that the child will not say what caused the injury. The nurse should consider the possible use of:
A. crystallized methamphetamine.
B. inhalants.
C. MDMA (Ecstasy).
D. PCP (phencyclidine).
B. inhalants
A client with cocaine dependency is irritable, anxious, highly sensitive to stimuli, and over reactive to clients and staff on the unit. Which action is most therapeutic for this client?
A. secluding and restraining the client as needed.
B. Telling the client to stay in his room until he can control himself.
C. Providing the client with frequent "time-outs"
D. Confronting the client about his behavior.
C. providing the client with frequent "time-outs"
For a nurse to develop a therapeutic attitude toward the treatment of alcohol, tobacco, and other drug (ATOD) problems in the community, the nurse must realize drug addiction can be successfully treated, anyone may develop drug dependence, and:
A. any drug can be abused.
B. illegal drugs are the category of abused drugs.
C. prescription drugs rarely cause dependence.
D. over-the-counter (OTC) drugs are "good drugs."
A. any drug can be abused
A client presents to the emergency department with alcohol intoxication. Assessment shows nystagmus, ataxia, and confusion. The client's breath smells of alcohol. Which prescription from the health care provider should the nurse implement first?
A. Blood draw for liver function test.
B. D5 1/2 Normal Saline
C. Folic Acid, IV
D. Thiamine, IV
D. Thiamine, IV
Alcohol abuse-induced thiamine deficiency can cause which of the following?
A. Wernicke-Korsakoff syndrome
B. Lewy body dementia
C. Agnosia
D. Wolf-Hirschhorn syndrome
A. Wernicke-Korsakoff syndrome
The nurse is caring for a client with a history of heroin abuse. Which clinical finding may indicate withdrawal?
A. Constipation
B. Constricted pupils
C. Drowsiness
D. Tachycardia
D. tachycardia
Which of the following signs should the nurse expect in a client with known amphetamine overdose?
A. Hypotension
B. Tachycardia
C. Hot, dry skin
D. Constricted pupils
B. tachycardia
Which measure should the nurse include in the plan of care for a client with alcohol withdrawal delirium?
A. using restraints continuously
b. touching the client before saying anything
c. remaining with the client when she is confused or disoriented
d. informing the client about alcohol treatment programs
c. remaining with the client when she is confused or disoriented.
What type of long-acting medication is most often used for the treatment of alcohol withdrawal?
A. Benzodiazepenes
B. Barbiturates
C. Antidepressant
D. Anxiolytics
A. benzodiazepenes
The daughter of a patient admitted to the intensive-care unit with delirium tremens asks the nurse how long this condition will last. The RN responds:
A. This typically clears in a matter of hours or few days.
B. This is a progressive disorder. Some get better, while others never recover.
C. Seclusion and restraint will be used to protect her from injury.
D. Her condition will improve once intravenous fluids are started.
A. This typically clears in a matter of hours or few days.
A patient is admitted to the emergency department with shallow respirations, clammy skin, and dilated pupils. The nurse suspects:
A. Withdrawal from benzodiazepines.
B. Overdose on benzodiazepines.
C. Withdrawal from Cocaine.
D. Overdose on cocaine.
B. overdose on benzodiazepines.
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. Perfuse diarrhea
C. Perforated nasal septum
D. Hypotension
C. Perforated nasal septum
A client who has experienced the loss of her husband through divorce, the loss of her job and apartment, and the development of drug dependency is suffering situational low self-esteem. Which outcome is MOST appropriate initially?
A. the client will discuss her feelings related to her losses.
B. The client will identify two positive qualities.
C. The client will explore her strengths.
D. The client will prioritize problems
A. The client will discuss her feelings related to her losses
Methadone maintenance for heroin addiction is a harm reduction strategy because it reduces deviant behavior and introduces addicted persons to the health care system. What is a disadvantage to the use of Methadone?
A. Methadone is inexpensive.
B. Methadone carries a risk of overdose.
C. Methadone prevents relapse.
D. Methadone is long acting and effective orally.
B. Methadone carries a risk of overdose
Which symptoms are expected indications that a client has alcohol withdrawal delirium? Select all that apply.
a. tachycardia
b. tachypnea
c. dry, flushed skin
d. thirst
e. hypertension
f. abdominal cramping
a, b, e
A client is being admitted to the addiction unit for a confirmed and long-term addiction to alprazolam. She continues to strongly deny her addiction, stating she was prescribed the alprazolam to control her "panic attacks." Which procedures would be the MOST important during the admission process? Select all that apply.
A. Assess the client for suicide, escape, and aggression risks.
B. With the client present, search the client's clothes and belongings for contraband and restricted items.
C. Initiate withdrawal precautions.
D. Explain the unit routine and types of groups.
E. Obtain a urine specimen for a urine drug screen.
A, B, C, E
Marijuana (Cannabis sativa or C. indica) is the most widely used illicit drug in the United States. The nurse should be aware that marijuana has which of the following characteristics? (Select all that apply.)
A. Decreases appetite
B. May lead to tolerance
C. Is highly toxic
D. Has little quality control
E. Is a safe therapeutic agent
B, D, E,
When developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy), what information should the nurse expect to include? Select all that apply.
A. using Ecstasy is similar to using speed
B. Ecstasy is used at all-night parties
C. Teeth grinding is seen with cocaine, not Ecstasy use.
D. It can cause death.
E. It reduces self-consciousness.
A, B, D, E
An unconscious client in the ED is given IV naloxone due to an overdose of heroin. Which findings would indicate a therapeutic response to the naloxone? Select all that apply.
A. decreased pulse rate.
B. warm moist skin.
C. dilated pupils.
D. increased respirations.
E. consciousness
D, E