Exam 11: Substance Use

The nurse is caring for a client who takes methadone daily to prevent a relapse of heroin addiction and has been admitted for knee surgery. Which of the following actions should the nurse include in the plan of care to promote effective pain control postoperatively?

The nurse is caring for a young adult client who has inhaled cocaine and has been admitted to the emergency department with palpitations and shortness of breath. Which of the following actions ordered by the health care provider will the nurse implementfirst?

The nurse is caring for a client who smokes a pack of cigarettes daily and has been admitted to the hospital for surgery. In anticipation of nicotine withdrawal, which of the following goals should the nurse include when planning postoperative care?

The nurse is caring for a young adult who has a cocaine addiction. Which of the following routes of cocaine administration results in the fastest absorption and the highest "rush"?

Aclient who is alcohol-intoxicated must undergo emergency surgery for abdominal trauma. Which of the following should the nurse anticipate when caring for the client in the perioperative period?

Aclient who smokes a pack of cigarettes daily develops tachycardia and irritability on the second day after abdominal surgery. Which of the following actions should the nurse implement first?

The nurse is caring for a client who has a history of ongoing opioid use and has been hospitalized for surgery. After a visit by a friend, the nurse assesses that the client is unresponsive with pinpoint pupils. Which of these prescribed medications will thenurse administer immediately?

An agitated individual is brought to the emergency department by friends who state that the client took a hallucinogenic drug at a party and then tried to jump from a second-story window. Which of the following nursing diagnoses is priority?

A young adult client arrives at the emergency department with severe chest pain and agitation. Which of the following actions should the nurse take first?

The nurse is assessing a client who has a history of alcohol use. Which of the following assessment data should the nurse expect?

The nurse is caring for a client admitted to the hospital after an automobile accident who has a blood alcohol concentration (BAC) of 48 mmol/L (0.22 mg%). The client is alert and does not appear highly intoxicated. Which of the following nursing actionsshould the nurse implement?

A client who is disoriented and agitated comes to the emergency department after using methamphetamine. Vital signs are blood pressure 162/98, heart rate 142 and irregular, and respirations 32. Which of the following actions is priority for the nurse toimplement?

All the following medications are ordered for a client admitted with a blood alcohol concentration of 0.18 mg%. Which of the following should the nurse administer first?

An older adult has been taking alprazolam and calls the clinic asking for a refill of the prescription 1 month before it should need to be refilled. Which of the following responses is most appropriate?

Suicide is an overdose effect of which of the following substances?

The nurse is caring for a client admitted to hospital with chest pain who is a pack-a-day smoker and tells the nurse, "I am just not ready to quit smoking yet." Which of the following responses is the most appropriate?

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

The nurse is caring for a client who is admitted to the hospital for treatment of an abscess on the left thigh and the client tells the nurse that they use fentanyl illegally. Which of the following symptoms should the nurse anticipate assessing?

The nurse is caring for a client with alcohol dependence who has been admitted to the hospital with chest pain. Twenty-four hours after admission, the client becomes very tremulous and anxious. Which of the following actions should the nurse implement?

During physical assessment of a client who has sinus headaches, the nurse finds nasal sores and necrosis of the nasal septum. Client use of which of the following substances should the nurse include in the assessment?