Ch. 31 Addictions and Substance Abuse Dependency Flashcards
A client has been admitted to the inpatient unit after using inhalants recently. Upon assessment, the nurse finds the client with slurred speech and nystagmus. Which is an antidote to treat inhalant toxicity?
There is no antidote or specific medication to treat inhalant toxicity.
The client was diagnosed with cocaine abuse at age 30. When the client was 23, the client was diagnosed with major depressive episode, and has continued to have depression off and on since then. Which statement would reflect this situation?
The client most likely has a dual diagnosis since she has both a substance dependence and depression.
Which medication is used to prevent Wernicke-Korsakoff syndrome?
Thiamine is used to prevent Wernicke-Korsakoff syndrome.
The body can metabolize how much beer per hour without intoxication?
The body can metabolize 1 oz of liquor, a 5-oz glass of wine, or a 12-oz can of beer per hour without intoxication.
Which of the following is used as a substitute for heroin in some maintenance programs?
Methadone, a potent synthetic opiate, is used as a substitute for heroin in some maintenance programs.
The nurse is performing a history and physical examination on a client with chronic alcoholism. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. Which of these conditions are attributable to the client’s history of alcohol abuse?
Various medical conditions may alert the nurse to the early recognition of alcohol abuse problems, including gastritis or gastric ulcers, pancreatitis, esophagitis, mild to moderate hypertension, cardiomyopathy, arrhythmias, alcoholic hepatitis, cirrhosis of the liver, decreased white blood cell production, decreased granulocyte adherence, and thrombocytopenia, or cancers of the mouth, pharynx, larynx, esophagus, pancreas, stomach, and colon.
Which condiditon will a child born with fetal alcohol syndrome most likely exhibit?
A child born with fetal alcohol syndrome will most likely exhibit brain damage, which often results in intellectual disability.
A nurse suspects that a client is experiencing alcohol withdrawal based on assessment of which of the following?
A client experiencing alcohol withdrawal may exhibit tremors; seizures; increased temperature, pulse and blood pressure; and delirium tremors. Slurred speech would be seen as an effect of alcohol.
A nurse is conducting a class for a group of high school students about marijuana use and abuse. The nurse determines that the class needs further discussion when they state which of the following?
While pleasurable for most people on most occasions, marijuana use can induce feelings of anxiety and dysphoria. Other potential negative effects include delirium or a psychotic disorder. Ingestion of marijuana disrupts coordination of movement, balance, and reaction time. It can also result in hypotension and tachycardia.
A group of nursing students is reviewing information about nutritional supplementation used during alcohol detoxification. The students demonstrate the need for additional review when they identify which of the following as being used?
Naloxone (Narcan), an opioid antagonist, is given to reverse the respiratory depression, sedation, and hypertension for opioid intoxication.
