Question: Which assessment findings best correlate to the withdrawal from central nervous system depressants?
Answer Options:
Answer: c. Nausea, vomiting, diaphoresis, anxiety, tremors
Question: A patient has smoked two packs of cigarettes daily for many years. When the patient does not smoke or tries to cut back, anxiety, craving, poor concentration, and headache result. What does this scenario describe?
Answer Options:
Answer: b. Substance addiction
Question: Which assessment findings will the nurse expect in an individual who has injected heroin?
Answer Options:
Answer: d. Drowsiness, constricted pupils, slurred speech
Question: A newly hospitalized patient has not used heroin for 24 hours. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for which withdrawal symptoms?
Answer Options:
Answer: c. Runny nose, yawning, insomnia, and chills
Question: A nurse is called to the home of a neighbor and finds an unconscious person still holding a medication bottle labeled “lorazepam.” What is the nurse’s first action?
Answer Options:
Answer: d. Establish a patent airway.
Question: An adult in the emergency department states, “I feel restless. Everything I look is wavy. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.” Vital signs are slightly elevated. The nurse should suspect what triggered these reports?
Answer Options:
Answer: d. Lysergic acid diethylamide (LSD) ingestion
Question: In what significant ways is the therapeutic environment different for a patient who has ingested lysergic acid diethylamide (LSD) than for a patient who has ingested phencyclidine (PCP)?
Answer Options:
Answer: a. For LSD ingestion, one person stays with the patient and provides verbal support
Question: When assessing a patient who has ingested flunitrazepam, what should the nurse expect?
Answer Options:
Answer: d. Anterograde amnesia
Question: A patient is admitted in a comatose state after ingesting five capsules of lorazepam. A friend of the patient says, “Often my friend drinks, along with taking more than is prescribed.” What is the effect of the use of alcohol with the lorazepam?
Answer Options:
Answer: c. A synergistic effect occurs.
Question: Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
Answer Options:
Answer: d. Naltrexone
Question: Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, what will the patient do?
Answer Options:
Answer: b. State, “I see the need for ongoing treatment.”
Question: Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?
Answer Options:
Answer: b. “When did you have your last drink?”
Question: A patient in an alcohol treatment program says, “I have been a loser all my life. I’m so ashamed of what I have put my family through. Now, I’m not even sure I can succeed at staying sober.” Which nursing diagnosis applies?
Answer Options:
Answer: a. Chronic low self-esteem
Question: Which assessment findings support a nurse’s suspicion that a patient has been using inhalants?
Answer Options:
Answer: d. Nosebleed, muscle wasting, and impaired hearing
Question: A patient undergoing alcohol rehabilitation decides to accept disulfiram therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? (Select all that apply.)
Answer Options:
Answer: b. Read labels of all liquid medications. e. Avoid breathing fumes of paints, stains, and stripping compounds.
Question: A nurse can assist a patient diagnosed with addiction and the patient’s family in which aspects of relapse prevention? (Select all that apply.)
Answer Options:
Answer: a. Rehearsing techniques to handle anticipated stressful situations c. Assisting the patient to identify life skills needed for effective coping e. Teaching the patient about the physical changes to expect as the body adapts to functioning without substances
Question: While caring for a patient with a methamphetamine overdose, which tasks are the priorities of care? (Select all that apply.)
Answer Options:
Answer: a. Administration of naloxone (Narcan) e. Reduction of fever