Question 1

A 29-year-old male patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic and euphoria, tachycardia, and fever. The nurse suspects that he may be experiencing the effects of taking which substance?

Accepted Answer

A)   Opioids
B)   Alcohol
C)   Stimulants
D)   DepressantsE) All of the above
F) B) and C) C

Question 2

When admitting a patient with a suspected diagnosis of chronic alcohol use, the nurse will keep in mind that chronic use of alcohol might result in which condition?

Accepted Answer

A)   Renal failure
B)   Cerebrovascular accident
C)   Korsakoff's psychosis
D)   Alzheimer's diseaseE) C) and D)
F) A) and B)

Question 3

A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?

Accepted Answer

A)   diazepam (Valium) 
B)   methadone
C)   disulfiram (Antabuse) 
D)   bupropion (Zyban) E) A) and B)
F) A) and C)

Question 4

The nurse is conducting a smoking-cessation program. Which statement regarding drugs used in cigarette-smoking-cessation programs is true?

Accepted Answer

A)   Rapid chewing of the nicotine gum releases an immediate dose of nicotine.
B)   Quick relief from withdrawal symptoms is most easily achieved by using a transdermal patch.
C)   Compliance with treatment is higher with use of the gum rather than the transdermal patch.
D)   The nicotine gum can be used only up to six times per day.E) A) and B)
F) All of the above

Question 5

The nurse is monitoring a patient who is experiencing severe ethanol withdrawal. Which are signs and symptoms of severe ethanol withdrawal? (Select all that apply.)

Accepted Answer

A)   Agitation
B)   Drowsiness
C)   Tremors
D)   Systolic blood pressure higher than 200 mm Hg
E)   Temperature over 100° F ( 37.7° C ) F)  Pulse rate 110 beats/minuteG) All of the above
H) B) and C) A, C, D

Question 6

A patient has been taking naltrexone ( ReVia )  as part of the treatment for addiction to heroin. The nurse expects that the naltrexone will have which therapeutic effect for this patient?

Accepted Answer

A)   Naltrexone prevents the cravings for opioid drugs.
B)   Naltrexone works as a safer substitute for the heroin until the patient completes withdrawal.
C)   The patient will experience flushing, sweating, and severe nausea if he takes heroin while on naltrexone.
D)   If opioid drugs are used while taking naltrexone, euphoria is not produced; thus, the opioid's desired effects are lost.E) All of the above
F) None of the above

Question 7

The nurse is presenting a substance-abuse lecture for teenage girls and is asked about "roofies." The nurse recognizes that this is the slang term for which substance?

Accepted Answer

A)   cocaine
B)   flunitrazepam
C)   secobarbital
D)   methamphetamineE) B) and C)
F) A) and D)

Question 8

A nurse is providing teaching for a patient who will be taking varenicline (Chantix)  as part of a smoking-cessation program. Which teaching points are appropriate for a patient taking this medication? (Select all that apply.)

Accepted Answer

A)   This drug is available as a chewing gum that can be taken to reduce cravings.
B)   Use caution when driving because drowsiness may be a problem.
C)   There have been very few adverse effects reported for this drug.
D)   Notify the prescriber immediately if feelings of sadness or thoughts of suicide occur.
E)   Avoid caffeine while on this drug.F) C) and D)
G) A) and D)

Question 9

A patient is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram (Antabuse)  therapy?

Accepted Answer

A)   He should not smoke cigarettes while on this drug.
B)   He needs to know about the common over-the-counter substances that contain alcohol.
C)   This drug will cause the same effects as the alcohol did, without the euphoric effects.
D)   Mouthwashes and cough medicines that contain alcohol are safe because they are used in small amounts.E) B) and C)
F) A) and C)

Question 10

A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel "normal" again. Which statement by the nurse is correct?

Accepted Answer

A)   "It's possible that these cravings will never stop."
B)   "These cravings may persist for several months."
C)   "The cravings tell us that you are still using nicotine."
D)   "The cravings show that you are about to experience nicotine withdrawal."E) All of the above
F) A) and D)

Question 11

A patient has been taking disulfiram ( Antabuse )  as part of his rehabilitation therapy. However, this evening, he attended a party and drank half a beer. As a result, he became ill and his friends took him to the emergency department. The nurse will look for which adverse effects associated with acetaldehyde syndrome? (Select all that apply.)

Accepted Answer

A)   Euphoria
B)   Severe vomiting
C)   Diarrhea
D)   Pulsating headache
E)   Difficulty breathingF)  SweatingG) C) and E)
H) A) and F) B,D,E,

Exam 17: Substance Abuse

A 29-year-old male patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic and euphoria, tachycardia, and fever. The nurse suspects that he may be experiencing the effects of taking which substance?

Correct Answer
verified
C

When admitting a patient with a suspected diagnosis of chronic alcohol use, the nurse will keep in mind that chronic use of alcohol might result in which condition?

Correct Answer
verified

A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?

Correct Answer
verified

The nurse is conducting a smoking-cessation program. Which statement regarding drugs used in cigarette-smoking-cessation programs is true?

Correct Answer
verified

The nurse is monitoring a patient who is experiencing severe ethanol withdrawal. Which are signs and symptoms of severe ethanol withdrawal? (Select all that apply.)

Correct Answer
verified
A, C, D

A patient has been taking naltrexone ( ReVia ) as part of the treatment for addiction to heroin. The nurse expects that the naltrexone will have which therapeutic effect for this patient?

Correct Answer
verified

The nurse is presenting a substance-abuse lecture for teenage girls and is asked about "roofies." The nurse recognizes that this is the slang term for which substance?

Correct Answer
verified

A nurse is providing teaching for a patient who will be taking varenicline (Chantix) as part of a smoking-cessation program. Which teaching points are appropriate for a patient taking this medication? (Select all that apply.)

Correct Answer
verified

A patient is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram (Antabuse) therapy?

Correct Answer
verified

A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel "normal" again. Which statement by the nurse is correct?

Correct Answer
verified

Correct Answer
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B,D,E,

Exam 17: Substance Abuse

Correct AnswerverifiedC

When admitting a patient with a suspected diagnosis of chronic alcohol use, the nurse will keep in mind that chronic use of alcohol might result in which condition?

Correct AnswerverifiedShow Answer

A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?

Correct AnswerverifiedShow Answer

The nurse is conducting a smoking-cessation program. Which statement regarding drugs used in cigarette-smoking-cessation programs is true?

Correct AnswerverifiedShow Answer

The nurse is monitoring a patient who is experiencing severe ethanol withdrawal. Which are signs and symptoms of severe ethanol withdrawal? (Select all that apply.)

Correct AnswerverifiedA, C, D

A patient has been taking naltrexone ( ReVia ) as part of the treatment for addiction to heroin. The nurse expects that the naltrexone will have which therapeutic effect for this patient?

Correct AnswerverifiedShow Answer

The nurse is presenting a substance-abuse lecture for teenage girls and is asked about "roofies." The nurse recognizes that this is the slang term for which substance?

Correct AnswerverifiedShow Answer

A nurse is providing teaching for a patient who will be taking varenicline (Chantix) as part of a smoking-cessation program. Which teaching points are appropriate for a patient taking this medication? (Select all that apply.)

Correct AnswerverifiedShow Answer

A patient is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram (Antabuse) therapy?

Correct AnswerverifiedShow Answer

A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel "normal" again. Which statement by the nurse is correct?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedB,D,E,

Correct Answer
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C

Correct Answer
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Correct Answer
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Correct Answer
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A, C, D

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B,D,E,