Substance Abuse Review Questions

Question 1

Where should we focus our efforts on smoking prevention?

Answer 1

Adolescents

Question 2

What organ is greatly affected by alcohol use?

Answer 2

The Liver

Question 3

What’re the priority tx/nursing actions for a patient with alcohol intoxication?

Answer 3

Administer IV thiamine, then glucose, watch for hypoglycemia, low magnesium levels, stay w/the patient, orient to reality, expect agitation and anxiety, risk for injury, continue assessment and intervention until BAC is 0.10

Question 4

What is the tx/nursing care for benzodiazepine withdrawal?

Answer 4

Close observation, Valium to start taper, Flumazinol

Question 5

What’re the symptoms of withdrawal for nicotine?

Answer 5

Few physical symptoms, but will have intense headache, cravings, may become depressed

Question 6

What’re the symptoms and complications of stimulant overdose? How do you treat it?

Answer 6

High HR, cravings, chest pain, agitation, fever, pupil dilation

Question 7

What are the symptoms of withdrawal for opioids? How do you treat it?

Answer 7

Sweating, diarrhea, watery eyes, n/v, abdominal cramps. Tx- tx symptoms, may need meds- Naloxone

Question 8

What’re the sx of opioid overdose? How do you treat it?

Answer 8

Death in respiratory depression/arrest, n/v, slurred speech, confusion, drowsiness, low HR, low BP, low RR. Tx- priority is ABC’s, continuous monitoring, ensure patent airway, IV access, 12-lead ECG, drug levels, give antidotes (narcan for opioids), gastric lavage, activated charcoal. Patient should not be released until seen by psychiatric professional