Exam 23: Substance-Related and Addictive Disorders

A client is admitted for alcohol detoxification.During detoxification,which symptoms should the nurse expect to assess?

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem.How should the nurse further evaluate this possibility?

A client has a history of daily bourbon drinking for the past 6 months.He is brought to an ED by family,who report that his last drink was 1 hour ago.It is now 12 midnight.When will the nurse expect this client to exhibit withdrawal symptoms?

The nurse is reviewing STAT laboratory data of a client presenting in the ED.What is the minimum blood alcohol level at which should the nurse expects intoxication to occur?

A recovering alcoholic relapses and drinks a glass of wine.The client presents in the ED experiencing severe throbbing headache,tachycardia,flushed face,dyspnea,and continuous vomiting.The nurse recognizes that the client's symptoms indicate which of the following?

Students in a community health nursing class recently attended a lecture regarding tobacco use.Which student statement reflects the lecturer's teaching was effective?

The nurse holds the hand of a client who is withdrawing from alcohol.What is the nurse's rationale for this intervention?

The nurse evaluates a client's patient-controlled analgesia (PCA)pump and notices 100 attempts within a 30-minute period.Which is the best rationale for assessing this client for substance use disorder?

Which term should the nurse use to describe the administration of a CNS depressant during alcohol withdrawal?

Which of the following nursing statements exemplifies important insights to promote effective intervention with clients diagnosed with Substance Use Disorders? Select all that apply.

Which is the priority nursing diagnosis for a client experiencing alcohol withdrawal?

A nurse receiving counseling for codependency is in the recovery process.Which are associated with codependent behaviors among nurses? Select all that apply.

A client diagnosed with Alcohol Use Disorder joins a community 12-step program and states,"My life is unmanageable." Which of the following indicates the nurse's interpretation of the client's statement?

The nurse in the ED assesses a 17-year-old client exhibiting symptoms of opiate intoxication.Which should be the nurse's first action?

A lonely,depressed divorcée has been self-medicating with cocaine for the past year.Which term does the nurse identify that best describes the client's situation?

Which client statement indicates a knowledge deficit related to substance use?

A client is asking the nurse about a newly prescribed medication,acamprosate calcium (Campral).Which is the nurse's best reply?

A client's wife has been making excuses for her alcoholic husband's work absences.In family therapy,she states,"I just need to work harder to get him there on time." Which is the appropriate nursing response?

A client with a history of insomnia has been taking chlordiazepoxide (Librium),15 mg,at night for the past year.The client currently reports this dose is no longer helping him fall asleep.Which nursing diagnosis appropriately documents this problem?

The nurse is caring for a client who has been prescribed disulfiram (Antabuse)as a deterrent to alcohol relapse.Which information should the nurse include when teaching the client about this medication?