Question: What is the typical time frame for the onset of Delirium Tremens after the last drink?
Answer Options:
12-24 hours, 6-12 hours, 24-48 hours, 48-96 hours
Answer: D. 48-96 hours
Question: The nurse is caring for a patient with a history of alcohol use disorder who is hospitalized with signs and symptoms of alcohol withdrawal. The nurse anticipates which drug will be prescribed for this patient to manage alcohol withdrawal symptoms?
Answer Options:
Disulfiram, Barbiturates, Benzodiazepines, Propofol
Answer: C. Benzodiazepines
Question: The third day after a patient was admitted to the hospital for pneumonia, the nurse determines that the patient is experiencing alcohol withdrawal. What are the signs of withdrawal on which the nurse bases this judgement?
Answer Options:
Seizures, Tremor, Frequent urination, Hallucinations, Back pain
Answer: A. Seizures, B. Tremor, D. Hallucinations
Question: The nurse is caring for a patient with end stage liver disease experiencing alcohol withdrawal. The provider started symptom triggered therapy. Which medication the nurse expects to see?
Answer Options:
Diazepam (Valium), Lorazepam (Ativan), Phenobarbital, Propofol
Answer: B. Lorazepam (Ativan)
Question: The nurse is teaching a patient about impact of unhealthy alcohol use on surgery results. Which response by the patient indicates a knowledge deficit related to post-op complications?
Answer Options:
Discomfort at the surgery site, Cardiac arrhythmias, Shorter hospital stay, Infection, Bleeding
Answer: A. Discomfort at the surgery site, C. Shorter hospital stay
Question: Which of the following is NOT a common symptom of Delirium Tremens?
Answer Options:
Increased heart rate, Hallucinations, Diaphoresis, Decreased blood pressure
Answer: D. Decreased blood pressure
Question: Thomas is a 39-year-old who is admitted to the hospital with a diagnosis of pancreatitis. He is suspected of having alcohol use disorder. Four hours after admission, he becomes irritable and diaphoretic. The nurse assesses the patient and notes the presence of tremor. The nurse recognized that patient is experiencing alcohol withdrawal. The nurse receives an order to use Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar) and administer benzodiazepines based on symptoms. Which medications the nurse anticipate? Select all that apply
Answer Options:
Valium, Ativan, Methadone, Clonidine
Answer: Valium, Ativan
Question: Thomas is a 39-year-old who is admitted to the hospital with a diagnosis of pancreatitis. He is suspected of having alcohol use disorder. Four hours after admission, he becomes irritable and diaphoretic. The nurse assesses the patient and notes the presence of tremor. The nurse recognized that patient is experiencing alcohol withdrawal. The nurse receives an order to use Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar) and administer benzodiazepines based on symptoms. The provider ordered Valium. The nurse monitors for signs of delirium tremens (DT). The family asks if their loved one is at risk for DT. Which risk factors should the nurse include in the response to the family? Select all that apply
Answer Options:
History of DT, History of alcohol withdrawal seizures, Comorbidity, Shorter period since last alcohol intake, Age under 30
Answer: History of DT, History of alcohol withdrawal seizures, Comorbidity, Shorter period since last alcohol intake
Question: Thomas is a 39-year-old who is admitted to the hospital with a diagnosis of pancreatitis. He is suspected of having alcohol use disorder. Four hours after admission, he becomes irritable and diaphoretic. The nurse assesses the patient and notes the presence of tremor. The nurse recognized that patient is experiencing alcohol withdrawal. The nurse receives an order to use Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar) and administer benzodiazepines based on symptoms. The provider ordered Valium. The nurse continues to monitor for signs of delirium tremens (DT). The family asks what they can expect. Which symptom should the nurse include in the response to the family? Select all that apply
Answer Options:
Disorientation, Hallucinations, Slower heart rate, High temperature, Low blood pressure
Answer: Disorientation, Hallucinations, High temperature, Low blood pressure
Question: The nurse is caring for a patient who is experiencing alcohol withdrawal and has implemented seizure precautions. Which one of the following are true about seizures caused by alcohol withdrawal?
Answer Options:
Usually occur 6-12 hours after the last drink, Generalized tonic-clonic seizures are the most common, Usually they are recurrent and prolonged, Usually occur 12-48 hours after last alcohol intake
Answer: B. Generalized tonic-clonic seizures are the most common, D. Usually occur 12-48 hours after last alcohol intake
Question: Thomas is a 39-year-old who is admitted to the hospital with a diagnosis of pancreatitis. He is suspected of having alcohol use disorder. Four hours after admission, he becomes irritable and diaphoretic. The nurse assesses the patient and notes the presence of tremor. Which complication of alcohol use disorder does the nurse suspect?
Answer Options:
Alcohol withdrawal, Wernicke-Korsakoff syndrome, Acute psychosis, Delirium tremens
Answer: Alcohol withdrawal
Question: The nurse is caring for a patient admitted with suspected alcohol use disorder. The nurse recognizes that withdrawal symptoms usually present:
Answer Options:
Can start weeks after a person has his/her last drink, Within 24 hours of alcohol intake, Within 6 hours of last alcohol intake, Within 72 hours of alcohol intake
Answer: C. Within 6 hours of last alcohol intake
Question: A community outreach nurse is preparing an educational seminar on the prevention of substance use disorders (SUD) for parents of college freshmen. The nurse knows that – is the most commonly abused substance in the United States.
Answer Options:
Opioids, Tobacco, Marijuana, Alcohol
Answer: D. Alcohol
Question: The nurse monitors for which substance use disorder (SUD) risk factors in adult patients?
Answer Options:
A history of childhood sexual abuse, Parental substance use, Absence of other mental health disorders, Early drug use, High academic achievement
Answer: A. A history of childhood sexual abuse, B. Parental substance use, D. Early drug use
Thought for 40 seconds
After reviewing all the questions you have asked, the total number of questions is 107.
Here is the information for all the questions I have answered so far, excluding questions with computation:
Question: Wernicke-Korsakoff syndrome is a condition often seen in severe alcohol use disorder. The nurse understands this complication is caused by long term depletion of:
Answer Options:
Iron, Vitamin K, Magnesium, Thiamine (vitamin B1)
Answer: D. Thiamine (vitamin B1)
Question: Thomas is a 39-year-old who is admitted to the hospital with a diagnosis of pancreatitis. The admitting nurse administers a CAGE questionnaire. Thomas has tried multiple times to reduce or stop drinking but has yet to succeed. His alcohol use has started to affect his work performance and is straining his relationship with his wife and children. He is upset at his wife and his family for not understanding him and instead condemning him for his behavior. How does the nurse interpret these findings?
Answer Options:
The responses do not really tell us anything. The CAGE must be repeated at least one more time., The responses suggest low risk for alcohol abuse and no further assessment or workup is needed., The responses indicate the presence of behaviors suggestive of alcohol use disorder, The responses indicate Thomas is an alcoholic.
Answer: The responses indicate the presence of behaviors suggestive of alcohol use disorder