lillys chapter 18: Addictions

1. A patient is experiencing withdrawal from opioids; nurse expects to see which assessment finding most associated with acute opioid withdrawal?

a. Elevated blood pressure

b. Decreased pulse

c. Lethargy

d. Constipation

elevated blood pressure 

2. During treatment for withdrawal from opioids, the nurse expects which medication to be ordered?

a. amphetamine (Dexedrine®)

b. clonidine (catapres)

c. diazepam (Valium)

d. disul!ram (Antabuse)

clonidine (catapres)

The nurse is presenting a seminar on substance misuse. Which drug is no longer the most commonly used illicit

drug in Canada?

a. Crack cocaine

b. Heroin

c. marijuana 

d. Methamphetamine

marijuana 

A patient who is taking disul!ram as part of an alcohol treatment program accidentally takes a dose of cough syrup that contains a small percentage of alcohol. The nurse expects to see which symptom as a result of acetaldehyde syndrome.

a. Lethargy

b. copious vomiting

c. Hypertension

d. No ill effects because of the small amount of alcohol in the cough syrup

copious vomiting

5. The nurse is assessing a patient for possible substance misuse. Which assessment finding indicates possible use of amphetamines?

a. Lethargy and fatigue

b. Cardiovascular depression

c. talkative and euphoria 

d. Difficulty swallowing and constipation

talkative and euphoria

6. A patient experiencing ethanol withdrawal is beginning to show severe manifestations of delirium tremens. the nurse will plan to implement which interventions for this patient?

(Select all that apply.)

a. Doses of an oral benzodiazepine

b. Doses of an intravenous benzodiazepine

c. Restraints if the patient becomes confused, agitated, or a threat to himself or others

d. thiamine supplementation

e. Oral disul!ram (Antabuse) treatment

f. Monitoring in the Critical Care Unit

B, C, D, E 

A patient has been admitted to the emergency department after a suspected overdose of benzodiazepines mixed with alcohol. The patient is lethargic and cannot speak. The nurse expects which immediate measures to be implemented?

(Select all that apply.)

a. Prepare to administer naloxone (Suboxone)

b. Prepare to administer %umazenil

c. Monitor the patient for convulsions

d. Prepare for potential respiratory arrest

e. Apply restraints

B, C, D

The nurse is teaching a class about the side effects of alcohol. Long-term excessive use of alcohol is associated with which of these problems? (Select all that apply.)

a. coronary artery disease

b. Wernicke’s encephalopathy

c. Polyneuritis

d. Seizures

e. Cirrhosis of the liver

f. Korsako$’s psychosis

B, C, D, E, F