Exam 12: Addictive Behaviors

A patient who smokes a pack of cigarettes daily develops tachycardia and irritability on the second day after abdominal surgery. Which action is best for the nurse to take at this time?

A new 21-year-old patient who is scheduled for an annual physical examination arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse plan to take?

When assessing a patient who has a history of alcohol abuse, the nurse will plan to assess for

All the following medications are ordered for a patient admitted with a blood alcohol concentration of 0.18 mg%. Which one will the nurse give first?

A patient admitted with chest pain who is a pack-a-day smoker tells the nurse, "I am just not ready to quit smoking yet." The best response by the nurse is

Which information obtained by the nurse about a patient who has been using varenicline (Chantix) is most important to report to the health care provider?

A patient who takes methadone (Dolophine) daily to prevent a relapse of heroin addiction is admitted for knee surgery. To promote effective pain control postoperatively, the nurse will plan to

A disoriented and agitated patient comes to the emergency department after using methamphetamine. Vital signs are blood pressure 162/98, heart rate 142 and irregular, and respirations 32. The most important intervention by the nurse is to

A patient admitted to the hospital after an automobile accident has a blood alcohol concentration ( BAC ) of 220 mg/dl ( 0.22 mg% ). The patient is alert and does not appear highly intoxicated. An appropriate nursing action is to

A 69-year-old who has been taking alprazolam (Xanax) calls the clinic asking for a refill of the prescription 1 month before the Xanax should need to be refilled. The best response by the nurse to the patient is

A patient who is alcohol-intoxicated must undergo emergency surgery for abdominal trauma. The nurse anticipates that during the perioperative period, the patient

During physical assessment of a patient who has sinus headaches, the nurse finds nasal sores and necrosis of the nasal septum. The nurse should ask the patient specifically about the use of

A patient who has a history of ongoing opioid abuse is hospitalized for surgery. After a visit by a friend, the nurse finds that the patient is unresponsive with pinpoint pupils. Which of these prescribed medications will the nurse administer immediately?

A patient in the outpatient clinic who is using a nicotine patch (Nicoderm CQ) tells the nurse about waking frequently during the night. Which action is best for the nurse to take?

A patient who is admitted to the hospital for treatment of an abscess on the left thigh admits to using fentanyl (Sublimaze) illegally. The nurse will monitor the patient for manifestations of withdrawal such as

A patient with alcohol dependence is admitted to the hospital with chest pain. Twenty-four hours after admission, the patient becomes very tremulous and anxious. An appropriate intervention by the nurse is to

A patient who smokes a pack of cigarettes daily is admitted to the hospital for surgery. When planning postoperative care, the nurse should include measures to

A 20-year-old patient who has inhaled cocaine is admitted to the emergency department with palpitations and shortness of breath. Which of these actions ordered by the health care provider will the nurse implement first?

An agitated individual is brought to the emergency department by friends who state that the patient took a hallucinogenic drug at a party and then tried to jump from a second-story window. The priority nursing diagnosis for the patient is

A patient with a history of heavy alcohol use is seen at the clinic with acute gastritis. Which statement by the patient indicates that the patient is in the contemplation stage of change?